【摘要】 本文通过对我院1958～1990 33年中447例妊娠合并心脏病病例分析,发现孕产妇心脏病患病率有上升趋势;先天性心脏病比例升高;近年来心肌炎后遗症、各类心律失常及心脏病术后病例增多。对心功能不良或孕早期心功能Ⅲ～Ⅵ级者应控制心衰后及早中止妊娠,剖宫产术对于心脏病孕产妇尤急慢性心功能不全者控制后在有良好技术、输血、麻醉条件下是可行的有效措施。预防上呼吸道感染、纠正贫血、防治妊高征、避免过劳、注意水电介质平衡是预防和控制心衰的重要方面。 妊娠合并心肌炎后遗症其心功能不良者宜适时剖宫产为宜,孕期有不能解释的心功能不全表现应摄胸片了解心影大小以与围产期心肌病相鉴别。更多还原

【Abstract】 : By analysing 447 cases of pregnant weman complicated with heart disease that admitted to our hos pital during 33 years (from 1958 to 1990) iwe had found the incidence of pregnancy complicating heart diseases was trend to increase. The incidence rate of congenital heart disease has increased- In recent years, the cases with seque lae of myocarditis,arrhythmia and postoperation of heart surgery had increased. For these patients with heart dys function or cardiac function 2-3 in initial stage pregnancy- It’s important to terminate pregnancy immediately after heart failure being controlled. The cesarean section is an effective method for pregnant weman especial when their heart function has been controlled and the conditions of technique,blood-supply,and anesthesia are better. It is im portant for preventing and controlling heart failure to treat and prevent upper-airway infection and pregnant induce hypertension, correct hephemia and dehydration and electrolytic imbalance,prevent exhaustion.The patients with dysfunction induced by sequelae of myocarditis should been taken cesarean section at proper time. During pregnancy,if the reason induced heart dysfunction is not clear,it’s needs to take a thoracic x-ray in or der to understand the shape of heart and discriminate perinatal myocardosis.更多还原