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自1973～1987年间收治风湿性心脏病和先天性心脏病手术后妊娠27例(38次),其中早期流产8次,死胎4次,早产儿死亡1次。围产儿死亡率为74.7‰。27例孕妇中,除2例外,皆得1活婴。分娩方式中,阴道顺产7次,产钳产8次,剖宫产11次,剖宫产率为42％。心脏手术后能否妊娠,关键在于术后心脏功能改善情况。心功能不良者宜采用剖宫产术。本文对各种类型心脏病手术合并妊娠、妊娠结局和分娩方式进行了讨论。
27 cases (38) of pregnancies after rheumatic heart disease and congenital heart disease were treated from 1973 to 1987, including 8 abortions in the early stage, 4 stillbirths and 1 premature death. The perinatal mortality rate was 74.7 ‰. 27 cases of pregnant women, except 2 cases, all have 1 live baby. Delivery mode, vaginal birth 7 times, forceps produced 8 times, cesarean section 11 times, cesarean section rate was 42%. After cardiac surgery can pregnancy, the key is to improve cardiac function after surgery. Cardiac dysfunction should adopt cesarean section. This article discusses various types of cardiac surgery combined with pregnancy, pregnancy outcomes and delivery methods are discussed.