67例妊娠合并心力衰竭患者临床资料分析  

Clinical analysis and intervention strategies in 67 cases of pregnancy complicated with heart failure

作　　者：王勇[1] 杨春[2] 唐萍[1] 姜晶[1] 

机构地区：[1]山东省聊城市第二人民医院妇产科,252601 [2]山东省聊城市第二人民医院儿科

出　　处：《中华全科医师杂志》2012年第5期375-376,共2页Chinese Journal of General Practitioners

摘　　要：探讨妊娠合并心力衰竭（妊娠合并心衰）的临床特点及干预措施。回顾性分析1998年1月至2010年12月本院就诊的67例妊娠合并心衰的病例资料。妊娠合并心衰占妊娠合并心脏病的31％（67／216），病因以围生期心肌病（33例，49％）和妊娠高血压疾病性心脏病（28例，42％）为主。平均心衰发生时间为孕（36．0±2．7）周，平均终止妊娠的孕周为（36．5±2．1）周。妊娠合并心衰以剖宫产（75％，49／65，2例产前死亡）为主要终止妊娠方式，新生儿平均体重为（2517±541）g，新生儿窒息率22％（11／50）。应孕期加强产前检查，积极处理妊娠合并症及并发症，避免妊娠合并心衰发生。To explore the clinical characteristic and intervention strategies for pregnancy complicated with heart failure. The clinical data of 67 pregnant women with heart failure during January 1998 to December 2010 were collected and analyzed. The rate of heart failure in pregnancy with heart diseases was 31% （67/216）. The causes of pregnancy complicated with heart failure were peripartum eardiomyopathy （n = 33, 49% ） and hypertensive disorder complicating with pregnancy heart disease（ n = 28, 42% ）. Heart failure in pregnancy appeared at an average of （36. 0± 2. 7 ） weeks. The average terminating time of pregnant women with heart failure was （ 36. 5± 2. 1 ） weeks. Cesarean section was the main safe choice of delivery for pregnant women with heart failure. The average weight of newborns for pregnant women with heart failure was（2517± 541）g. The rate of neonatal asphyxia was 22% （11/50）. Strengthening routine antenatal examination and treating pregnant complications timely can prevent and reduce the incidence of heart failure.

关 键 词：妊娠并发症 心血管 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]