【摘 要】
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目的：探讨妊娠合并肺动脉高压患者的妊娠结局.方法:回顾性分析103例妊娠合并肺动脉高压患者临床资料,根据心脏彩色多普勒超声间接估测肺动脉收缩压,将患者分为轻度(30～49mmHg)、中度(50～79mmHg)和重度(≥80mmHg)肺动脉高压三组.分析患者的心脏病类型、心功能级别、终止妊娠方式、时间、母婴结局.结果:103例患者均为继发性肺动脉高压,继发于风湿性心脏病者占10.68％,继发于先天性
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目的：探讨妊娠合并肺动脉高压患者的妊娠结局.方法:回顾性分析103例妊娠合并肺动脉高压患者临床资料,根据心脏彩色多普勒超声间接估测肺动脉收缩压,将患者分为轻度(30～49mmHg)、中度(50～79mmHg)和重度(≥80mmHg)肺动脉高压三组.分析患者的心脏病类型、心功能级别、终止妊娠方式、时间、母婴结局.结果:103例患者均为继发性肺动脉高压,继发于风湿性心脏病者占10.68％,继发于先天性心脏病者占89.32％.103例患者中,足月分娩44例(42.72％),早产23例(22.33％),医源性流产36例(34.95％).67例足月分娩或早产患者中,经阴道自然分娩4例占5.97％,剖宫产术63例占94.03％,新生儿窒息4例,死产1例.结论：轻度肺动脉高压患者心功能耐受者可延长孕周足月或经阴道自然分娩，中度肺动脉高压患者争取延长孕周至32周或胎儿成熟，一旦病情恶化，心衰难以控制应及时终止妊娠。重度肺动脉高压患者妊娠可危及母婴健康和生命，不宜妊娠。
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