复杂性先天性心脏病合并妊娠诊疗进展  

Advances in diagnosis and treatment of pregnancy complicated by complex congenital heart disease

作　　者：顾佳琦 张军[1] Gu Jiaqi;Zhang Jun(Department of Obstetrics and Gynecology,Bejing Anzhen Hospital of Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院妇产科,北京100029

出　　处：《中华围产医学杂志》2024年第5期426-431,共6页Chinese Journal of Perinatal Medicine

摘　　要：随着外科技术的进展,更多复杂性先天性心脏病(法洛四联症、大动脉转位及单心室等)女性存活到育龄并妊娠,母婴风险显著增加。早期诊断、外科干预、全面的孕前评估、完备的孕期及分娩期多学科协作管理对降低复杂性先天性心脏病合并妊娠患者的母婴并发症和病死率尤其重要。故本文就目前复杂性先天性心脏病合并妊娠的诊疗进展进行综述。With the advancement in surgical techniques,an increasing number of women with complex congenital heart diseases(such as tetralogy of Fallot,transposition of the great arteries,and single ventricle)survive to childbearing age and conceive,significantly raising the mortality risks for both mother and infant.Early diagnosis,surgical intervention,comprehensive pre-pregnancy assessment,and multidisciplinary collaboration during pregnancy and delivery are crucial to reducing maternal and infant complications and mortality rates in patients with pregnancy complicated by complex congenital heart disease.Therefore,this article provides a review of the current advances in the diagnosis and treatment of pregnancy complicated by complex congenital heart disease.

关 键 词：妊娠 心脏病 复杂性先天性心脏病 Fontan循环 

分 类 号：R714.252[医药卫生—妇产科学]