妊娠合并心脏病临床诊治的研究进展  

Research progress of clinical diagnosis and treatment of pregnancy complicated with heart disease

作　　者：郑鸿露 杨彦[1] 黄旭 陈娟[1] ZHENG Honglu;YANG Yan;HUANG Xu;CHEN Juan(West China Hospital,Sichuan University,Chengdu,Sichuan Province,610041)

机构地区：[1]四川大学华西医院,成都610041

出　　处：《中国计划生育学杂志》2023年第5期1237-1241,共5页Chinese Journal of Family Planning

基　　金：国家自然科学基金委员会资助项目(81600299)。

摘　　要：妊娠合并心脏病由先天性心脏病、高龄、高血压、糖尿病等引起,由于妊娠期患者血流动力学及激素变化极大,使患者心脏负担增大,引发心力衰竭,导致流产、早产或产妇、新生儿死亡。临床上采用超声心动图、影像学、心血管造影及血生化检测诊断妊娠合并心脏病,根据心脏病类型及心功能分级于产前、妊娠期和产后选择不同治疗方法。本文综述妊娠合并心脏病的诊断及治疗方法。Pregnancy complicating heart disease is caused by congenital heart disease,advanced age,hypertension,dia-betes mellitus,etc.The great changes in hemodynamics and hormones of the patients during pregnancy lead their heart burden increasing,then causing heart failure and leading to abortion,premature delivery,or maternal and neonatal death.Clinically,echocardiography,imaging,angiocardiography,and blood biochemical test are used to diagnose pregnancy complicated with heart disease.According to the heart disease type and cardiac function grading of the pa-tients,different treatment methods are selected for these patients before delivery,during pregnancy,and after deliver-y.This paper reviews the diagnosis and treatment methods of pregnancy complicating heart disease.

关 键 词：妊娠 心脏病 诊断 治疗 

分 类 号：R714.252[医药卫生—妇产科学]