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在患有未治好先天性心脏病的患者中管理怀孕
Shantelle Bartra1, Malissa J Wood2, Tankut Onal3
1Lee Health Heart Institute, Fort Myers, Florida, USA; Pediatric Cardiology, Golisano Children's Hospital of Southwest Florida, Lee Health, Fort Myers, Florida, USA.
JACC. Case reports
|November 7, 2025
概括
孕妇患有先天性心脏病 (CHD) 面临风险,特别是未经修复的缺陷. 电子医疗记录 (EMR) 集成计划提高了护理协调,减少并发症,以改善母亲和胎儿的结果.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗信息学 医疗信息学
背景情况:
- 怀孕期间的先天性心脏病 (CHD) 需要专门的护理,特别是未被修复的缺陷.
- 优化母亲和胎儿的结果需要一个多学科的方法.
研究的目的:
- 为了说明一个怀孕的患者的管理,心房隔膜缺陷未被修复.
- 强调电子医疗记录 (EMR) 集成分娩计划在优化孕妇心血管疾病患者护理方面的作用.
主要方法:
- 一个38岁的孕妇的案例介绍,她怀孕20周,怀孕5个月,2个月,心跳和声.
- 诊断过渡性心房隔膜缺陷与中度左心房回.
- 多学科的医疗管理和EMR嵌入的分娩计划,以37周的阴道分娩为高潮.
主要成果:
- 患有未被修复的心室隔膜缺陷的患者经历了怀孕并成功分娩.
- 在怀孕37周时出现了先兆子.
- 集成EMR的交付计划促进了团队协调.
结论:
- 未被修复的心房隔膜缺陷增加了妊娠并发症和产后失补偿的风险.
- 集成EMR的分娩计划对于改善沟通和降低CHD怀孕的风险至关重要.
- 跨学科的合作对于心血管疾病的孕妇患者的最佳周产期结果至关重要.
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