论文部分内容阅读
分析了1978年至1991年妊娠合并心脏病235例的临床资料,结果表明患病率为1%,产妇病死率17‰,心脏病孕产妇病死率占非产科原因死亡的第一位。围产儿病死率为59.6‰。本组剖宫产率为36.1%,其中心功能Ⅲ、Ⅳ级者15例,占6.4%。认为改善母婴预后的关键在于良好的孕产妇系统管理及高危妊娠的临护,积极防治贫血、妊高征、产程延长及各种并发症,适时终止妊娠可获良好的妊娠结局。
The clinical data of 235 cases of pregnancy complicated with heart disease from 1978 to 1991 were analyzed. The results showed that the prevalence rate was 1%, the maternal mortality rate was 17%, and the maternal mortality rate of heart disease accounted for the first death from non-obstetric reasons. Perinatal mortality was 59.6 ‰. The rate of cesarean section in this group was 36.1%, and its central function Ⅲ, Ⅳ grade in 15 cases, accounting for 6.4%. The key to improving maternal and infant prognosis is to have good maternal system management and high-risk pregnancy support, to actively prevent and treat anemia, pregnancy-induced hypertension, prolonged labor and complications, and timely termination of pregnancy can achieve good pregnancy outcomes.