妊娠合并艾森曼格综合征九例母胎结局临床分析  

Analysis of pregnancy outcome of pregnant women with Eisenmenger syndrome

作　　者：陆晓云[1] 刘洋成[1] 严滨[1] Lu Xiaoyun, Liu Yangcheng, Yan Bin(Departmen of Gynecology and Obstetrics, First Hospital of Dalian Medical University, Dalian 116011, Chin)

机构地区：[1]大连医科大学附属第一医院妇产科,160011

出　　处：《中国医师进修杂志》2017年第10期891-894,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨妊娠合并艾森曼格综合征的母胎结局及预防治疗措施。方法对2009年9月至2017年3月收治的9例妊娠合并艾森曼格综合征患者的临床资料进行回顾性分析。结果9例患者中，定期产检6例，未定期产检3例，合并子痫前期2例，合并妊娠期糖尿病及糖耐量受损3例，合并心律失常2例，双下肺炎1例，心力衰竭4例。无合并症1例，产后72h内产妇死亡1例，围生儿7例，死亡2例，死胎2例。结论艾森曼格综合征患者易发生心力衰竭，不宜妊娠。若妊娠则病死率高，母胎结局差。应加强对艾森曼格综合征患者孕前咨询及管理，妊娠早期应尽早终止妊娠，对于妊娠中晚期患者，应定期产检，尽力保障母婴安全。Objective To explore the maternal and fetal outcomes and treatment strategies of pregnant women with Eisenmenger syndrome. Methods Datas of pregnant women with Eisenmenger syndrome from September 2009 to March 2017 were analyzed retrospectively. Results Three patients did not accept regular prenatal care. Two patients suffered from eclampsism. Two patients suffered from arrhythmia. One patient suffered from pulmonary infection. Four patients suffered from congestive heart failure. One patient had no complications. One patient died from pulmonary hypertension crisis within 72 h of postpartum. Four of the seven perinatal infants died from premature complications. Conclusions Patients with Eisenmenger syndrome have tendency to become heart failure and so are unsuitable for pregnancy. Once paitents have pregnancy, high mortality exists. So progestation counseling and management should be strengthened. Early pregnancy should be terminated. In mid or late trimester of pregnancy, regular prenatal care should be needed to held mothers and fetuses get better outcomes.

关 键 词：艾森曼格综合征 妊娠 肺动脉高压 剖宫产术 

分 类 号：R714.252[医药卫生—妇产科学]