【摘要】 目的 :探讨妊娠合并心脏病的产科处理原则。方法 :对我院 1990～ 1999年产科分娩的 7776名孕妇及其中 76例合并心脏病者的临床资料进行回顾性分析。结果 :妊娠合并心脏病的发生率为 0 .98% ,风湿性心脏病与先天性心脏病之比为 1.86∶1。本组共发生心力衰竭 17例 ,孕产妇死亡 1例 ,孕前已行外科手术纠正者 11例 ,心脏手术后妊娠和分娩者无 1例发生心力衰竭。结论 :妊娠合并心脏病者产前定期检查可预防合并症 ,改善母婴预后 ;对心功能不全患者应剖宫产终止妊娠。更多还原

【Abstract】 Objective:To assess the current obstetric management principles of pregnancy complicated with heart disease.Methods:Clinical data of 7 776 pregnant women of whom 76 were complicated with heart disease from 1990～1999 were reviewed.Results:The incidence of pregnancy complicated with heart disease was 0.98%.The ratio of rheumatic heart disease and congenital heart disease was 1.86∶1. Seventeen cases of heart failure and 1 case of maternal death occured during childbirth.No heart failure or maternal death occured among the 11 cases of heart disease which had been surgically corrected before pregrancy.Conclusions:Pregnancy complicated with heart disease still remains one of the major causes of maternal mortality.Periodical care can improve the outcome of the mother and baby.Caesarean delivery is recommended to the patients with cardiac insufficiency.更多还原