妊娠合并艾森门格综合征2例报道并文献分析  

Pregnancy with Eisenmenger Syndrome———Two Case Reports and Literature Analysis

作　　者：宋成文[1] 杨媛媛[2] 田金华[1] 江燕[1] 王晶[1] 谢守珍[1] 

机构地区：[1]广州军区武汉总医院妇产科,湖北武汉430070 [2]广州军区武汉总医院输血科,湖北武汉430070

出　　处：《华南国防医学杂志》2013年第10期724-726,共3页Military Medical Journal of South China

基　　金：湖北省计划生育面上项目(30772325/C03030401)

摘　　要：目的探讨妊娠合并艾森门格综合征(Eisenmenger syndrome)的诊断、妊娠结局与处理原则。方法回顾分析2例妊娠合并艾森门格综合征患者的临床资料及复习国内外30例患者的资料。结果妊娠合并艾森门格综合征的产妇,未临产行剖宫产结束分娩,经多学科综合治疗后,多存活;临产后虽剖宫产结束分娩者预后差;经阴道分娩者多死亡;围产儿预后差。结论妊娠合并艾森门格综合征母儿的结局不良:①不宜妊娠;②一旦妊娠应尽早行人工流产术终止妊娠;③如果患者坚决要求继续妊娠,应加强产前保健,尽早住院监护,不能等待临产或宫缩发作,即尽早结束妊娠。Objective To explore the diagnosis, pregnancy outcome and treatment principles of patients with Eisen menger syndrome. Methods The clinical materials of 2 cases of pregnancy complicated with Eisenmenger syndrome were retrospectively analysed. The materials of 31） patients from the literature were reviewed. Results The pregnant women with Eisenmenger syndrome who were not in labor, accepted cesarean section delivery and synthetic treatment could sur vive mostly. The patients who were in labor and accepted cesarean section delivery had poor prognosis. The patients givig vaginal delivery were dead mostly. The patients＇ perinatals had poor prognosis. Conclusion Mother and new-born infant with Eisenmenger syndrome have adverse outcome. These patients should not be pregnant. Once they are pregnant, the pregnancy should be terminated as early as possible. If the patients insisted on continuing pregnancy, the prenatal care in patient care should be strengthened, the patients should admit to the hospital as soon as possible, and the pregnancy should be terminated as early as possible before the occurrence of parturient symptoms and uterine contraction

关 键 词：艾森门格综合征 妊娠 结局 处理原则 

分 类 号：R714.15[医药卫生—妇产科学]