患有先天性心脏病的妇女的孕产妇和产周结局:一项观察性研究
Pooja Paudyal1, Asmita Ghimire1, Bashu Dev Parajuli2
1Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
JNMA; journal of the Nepal Medical Association
|March 2, 2026
概括
怀孕期间的先天性心脏病需要谨慎管理. 经过治疗的疾病显示出良好的结果,但艾森门格综合征仍然存在高的孕产妇死亡风险.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 周围生理学 周围生理学
背景情况:
- 孕妇的先天性心脏病 (CHD) 对母亲和胎儿都有重大风险.
- 早期诊断和主动管理对于改善孕产妇和产周生存率至关重要.
研究的目的:
- 在被诊断患有先天性心脏病的孕妇中调查孕产妇和产周期结局.
- 为了比较治疗和未治疗的先天性心脏病病例之间的结果.
主要方法:
- 在三级医院进行了一项观察性回顾性研究,持续了三年 (2020年4月至2023年3月).
- 分析了73名患有心血管疾病的孕妇的数据,这些孕妇在怀孕28周后分娩.
- 记录了母亲和胎儿的结果,并进行了描述性分析.
主要成果:
- 在73名患有心血管疾病的女性中,53.4%的病情未被纠正;心房隔膜缺陷是最常见的 (27.39%).
- 活产发生在94.52%的病例中,子宫内胎儿死亡率为5.47%.
- 在3名新生儿中发现了新生儿心脏病 (1 ostium secundum ASD,2 PFO).
结论:
- 接受治疗的先天性心脏病的孕妇通常会经历有利的孕产妇和产周结果.
- 对于那些患有艾森门格综合征的人来说,孕产妇死亡率仍然是一个重大问题.
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