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目的：探讨妊娠合并心脏病影响母儿预后的主要因素；方法对2012年1月至2013年1月在我院妇产科接受治疗的58例妊娠合并心脏病患者的临床资料进行回顾性分析；结果心功能在Ⅰ～Ⅱ级之间的患者相对于Ⅲ～Ⅳ级之间的患者，母婴预后情况相对较好，其中1例患者心功能在Ⅲ～Ⅳ级之间围产儿出现死亡现象，差异具有显著性（P＜0．05）；另外18例患者在经过心脏手术治疗后病情均得到好转，母婴预后情况良好，40例患者未接受手术治疗，与接受手术治疗的患者相比，母婴预后情况差异有显著性（P＜0．05）；结论加强对孕龄妇女妊娠合并心脏病的重视，及时做产前体检，进行心脏手术缓解心功能，能够有效降低妊娠合并心脏病对母婴带来的危害。“,”objective to investigate the pregnancy merge heart disease the main factors influencing the prognosis of female son;Methods from January 2012 to January 2012 in the treatment of obstetrics and gynecology hospital clinical data of 58 cases of pregnancy with heart disease patients were retrospectively analyzed.Results heart function in patients with gradeⅠ ~Ⅱbetween relative to Ⅲ ~Ⅳ level between patients,maternal and infant prognosis are relatively good,including 1 case of patients with cardiac function inⅢ ~Ⅳlevel between perinatal death occurs, withsignificantdiference(P <0.05);Another18patientsaftercardiacsurgerywerebeterof,maternalandinfantprognosisisgood,40patientsweretreatedwithoutsurgery,comparedwith in patients undergoing surgery,maternal and infant prognosis have significant diference (P <0.05);Conclusion strengthen the gestational age women ofpregnancy with heart disease seriously, do antenatal examination in a timely manner,the heart surgery to al eviate cardiac function,can ef ectively reduce the harm done by the pregnancy with heart disease on maternal and infant.