妊娠合并心肌病51例临床结果分析  

Retrospective analysis of 51 cases of maternal cardiomyopathy

作　　者：王君[1] 范颖[1] 于新平[1] 李斌[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京心肺血管研究所妇产科,100029

出　　处：《心肺血管病杂志》2016年第7期529-532,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:通过分析妊娠合并心肌病患者的临床特征及妊娠结局,为今后对患有心肌病的女性进行生育指导及产前咨询提供帮助。方法:回顾性分析首都医科大学附属北京安贞医院自2007年1月至2014年8月,收治的51例妊娠合并心肌病患者的临床资料。结果:研究期间共收治妊娠合并心脏病患者1 741例,其中合并心肌病51例,占2.9%。妊娠合并肥厚型心肌病29例(占56.9%),妊娠合并扩张型心肌病7例(占13.7%),妊娠合并围生期心肌病14例(占27.4%),妊娠合并左心室心肌致密化不全者1例(占2.0%)。51例患者进入围产期42例,4例自然分娩,38例经子宫下段剖宫产术分娩,仅死胎1例,余新生儿均存活;所有孕产妇中无死亡病例。心功能I-II级32例,心功能III-IV级19例。51例心肌病患者除3例HCM因意外怀孕于早孕期间终止妊娠外,其余均出现不同类型、不同程度的心脏事件。结论:心肌病患者孕前应评估心功能,一旦妊娠应及早就医,在多学科医学团队的管理下,加强妊娠期及产褥期监护,多数可以获得良好母儿结局。Objective：To analyze the clinical features and outcomes of pregnant women with cardiomyopathy, in order to provide help for fertility counseling and prenatal regulation. Methods： The information of 51 pregnant women with cardiomyopathy from Jan 2007 to Aug 2014 in Anzhen Hospital was retrospectively analyzed. Results： Morbidity of pregnant women with cardiomyopathy is 2.9% in our hospital. Of all the 51 pa- tients,42 were in perinatal period, 4 vaginal delivery and 38 cesarean sections, all the patients and neonatal were survival except 1 still birth. NYHA function class I - II in 32 cases, III- IV in 19 cases. Except for 3 HCM patients of abortion in early pregnancy, the rest are different types, different levels of cardiac events. Conclusion： Women with cardiomyopathy should consult a doctor before and during pregnancy. Most pregnant women with cardiomyopathy tolerate pregnancy well with planned delivery and fetal monitoring by a multidisci- plinarv team.

关 键 词：妊娠 心肌病 临床结果 

分 类 号：R54[医药卫生—心血管疾病]