妊娠相关传染性内心炎的复杂决策:一个案例系列
Jordan Liebman1, Emily C McQuade1, Syed Hussain2
1Department of Medicine, NYU Grossman School of Medicine, 550 First Avenue, New York, NY 10016, USA.
European heart journal. Case reports
|February 18, 2026
概括
怀孕期间感染性内心炎很少发生,但严重. 本报告详细介绍了两个需要手术的病例,强调了在心脏手术期间管理母亲和胎儿健康的关键多学科决策.
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
- 传染性疾病 传染性疾病
背景情况:
- 怀孕期间感染性内心炎对母亲和胎儿都有重大风险.
- 缺乏管理妊娠相关传染性内心炎的具体指导方针.
- 本报告侧重于感染性内心炎的孕妇的独特考虑.
研究的目的:
- 在孕妇中呈现两例感染性内心炎,需要进行手术的病例.
- 讨论与怀孕相关的传染性内心炎管理的独特挑战和决策过程.
- 强调在这些复杂的案件中多学科合作的重要性.
主要方法:
- 介绍了两项关于怀孕第二个三个月被诊断患有中心内心炎的患者的病例研究.
- 用生物假肢替换手术门的描述.
- 讨论管理心脏手术和分娩时间的多学科方法,手术内胎儿监测和抗凝策略.
主要成果:
- 两位患者都出现了传染性内心炎的症状,需要进行手术切换门.
- 并发症包括栓塞性中风和需要干预的真菌性动脉瘤.
- 两位患者在手术管理后成功在预期期生健康婴儿.
结论:
- 与怀孕相关的传染性内心炎的治疗需要平衡孕产妇和胎儿的风险.
- 多学科合作对于优化结果至关重要.
- 仔细考虑手术时间,门选择和抗凝药非常重要.
关键词:
通过心肺绕道术 (cardiopulmonary bypass) 进行心肺绕道.案例报告案例报告感染性内心炎感染性内心炎在手术期间的胎儿监测.中心门的中心门.怀孕 怀孕 怀孕 怀孕手术门更换手术门更换手术更多相关视频
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