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本文报告长海医院1980年以来心脏瓣膜置换术后妊娠12例的处理情况。12例中初产妇9例,经产妇3例。8例足月妊娠分娩,4例因心功能不全或有并发症史而终止妊娠。足月妊娠分娩的8例中,1例阴道分娩,7例剖宫产。孕期及手术经过良好,未发生严重并发症。7例新生儿发育正常,另1例有鼻畸形,出生后4天死于肺出血。本文对换瓣后妇女能否妊娠、抗凝剂的应用和换瓣妇女妊娠后孕期的监测、分娩方式的选择,以及产后的监护等问题进行了讨论。
This article reports the treatment of 12 cases of pregnancy after heart valve replacement in Changhai Hospital since 1980. 9 cases of primipara in 12 cases, 3 cases of mothers. 8 cases of full-term pregnancy delivery, 4 cases of cardiac insufficiency or history of complications and termination of pregnancy. In 8 cases of full-term pregnancy delivery, 1 case of vaginal delivery, 7 cases of cesarean section. Pregnancy and surgery well, no serious complications. Seven newborns developed normally, the other had nasal deformities and died of pulmonary hemorrhage four days after birth. This article discusses the possibility of pregnancy after pregnancy, the application of anticoagulants, the monitoring of pregnancy after pregnancy, the choice of mode of delivery and the guardianship of postpartum.