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目的:探讨二尖瓣球囊扩张术是否为治疗中晚期妊娠合并风湿性心脏病患者的有效方法。方法:11例严重风湿性心脏病二尖瓣狭窄合并妊娠的患者,妊娠中晚期反复发生心力衰竭,5例进行经皮二尖瓣球囊扩张术,6例药物治疗。结果:5例经皮二尖瓣球囊扩张手术者术后二尖瓣口面积增大,心功能明显改善,妊娠和分娩过程及产后心功能稳定,婴儿发育均正常。6例因各种原因未行手术者终因心功能失代偿而被迫终止妊娠。1例患者死亡。结论:经皮二尖瓣球囊扩张术治疗妊娠合并风湿性心脏病二尖瓣狭窄、心功能失代偿的患者,是可行并且安全有效的急救方法。
Objective: To investigate whether mitral balloon dilation is an effective method for treating patients with rheumatic heart disease in middle and late pregnancy. Methods: Eleven patients with severe rheumatic mitral stenosis and pregnancy were recurrent heart failure during the second trimester of pregnancy. Five patients underwent percutaneous balloon mitral valvuloplasty and six patients received drug treatment. Results: In 5 cases of percutaneous balloon mitral valvuloplasty, the mitral valve area increased, the cardiac function improved obviously, the pregnancy and childbirth process and the postpartum cardiac function were stable, and the infants’ development was normal. Six cases were terminated due to cardiac decompensation for various reasons without surgery. One patient died. Conclusion: Percutaneous balloon mitral valvuloplasty is a feasible and safe first aid method in the treatment of patients with mitral stenosis and cardiac decompensation in pregnancy complicated with rheumatic heart disease.