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妇女怀孕后果与丰田循环:单一的三级中心经验经验

Jin Ah Kim^1,2, Gi Beom Kim³, Sang-Yun Lee²

¹Department of Pediatrics, Yonsei University Gangnam Severance Hospital, Seoul, Korea.

Korean circulation journal

|June 19, 2025

概括

患有Fontan循环的女性的怀孕导致46.7%的活产率. 虽然发生了心脏并发症,但没有观察到严重的孕产妇发病率或死亡率,这表明怀孕在密切监测下是可行的.

科学领域:

心脏病学心脏病学
生殖医学生殖医学
儿童心脏病学儿童心脏病学

背景情况:

丰坦手术是单心室生理学的息治疗方法.
患有丰坦血循环的妇女怀孕对母亲和胎儿构成重大风险.
在这个人群中,关于母亲和胎儿的结果的数据有限.

研究的目的:

报告Fontan循环妇女怀孕的孕产妇和胎儿结果.
评估Fontan生理学的妇女怀孕的可行性和安全性.

主要方法:

从1986年到2023年,对怀孕患者进行了Fontan生理学的回顾性研究.
包括流产,早产和满期分娩.
审查了孕产妇和胎儿的结果,包括监测和管理策略.

主要成果:

在8名妇女中发生了15次怀孕,活产率为46.7% (7次活产,8次流产).
平均妊娠年龄为36周;28.6%的活产是早产.
两名患者患有产后心脏并发症 (心力衰竭,血栓栓塞),这些并发症得到了成功的治疗.

结论:

怀孕的妇女与Fontan循环产生了46.7%的活产率.
尽管有一些心脏并发症,但没有观察到严重的孕产妇发病率或死亡率.
经过Fontan循环的妇女可以接受怀孕和计划分娩,并受到密切监控.

关键词:

喷泉的运行方式心脏缺陷,与生俱来的缺陷.孕产妇健康孕产妇健康怀孕并发症怀孕并发症

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