相关实验视频
Updated: May 5, 2026

07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
28.4K
在患有复杂先天性心脏病的患者中,怀孕结果
Jiaqi Gu1, He Zhao1, Jun Zhang2
1Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
NPJ cardiovascular health
|March 3, 2026
概括
复杂先天性心脏病 (CCHD) 患者面临更高的不良妊娠结果的风险. 在怀孕前进行心脏外科纠正可以显著降低这些风险,提高母亲和婴儿的安全性.
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
- 公共卫生 公共卫生
背景情况:
- 复杂先天性心脏病 (CCHD) 在怀孕期间对母亲和婴儿的安全构成重大风险.
- 了解影响CCHD患者不良妊娠结果的因素对于降低风险至关重要.
研究的目的:
- 探索CCHD的孕妇中不良妊娠结果的影响因素.
- 为了确定特定的临床指标和条件,在这个人群中与糟糕的妊娠结果相关.
主要方法:
- 对108名在2013年1月至2023年1月期间终止怀孕的CCHD患者的临床数据的回顾性分析.
- 统计分析包括几率比率 (OR) 与95%信心区间 (CI) 和倾向得分匹配,以确定独立的风险因素.
主要成果:
- 41.7%的CCHD患者经历了不良妊娠结果;没有发生产妇死亡.
- 脑内尿素的升高 (BNP > 100 pg/mL),低氧化和缺乏先前的心脏手术纠正与不良结果有显著的关联.
- 缺乏心脏手术纠正独立预测较差的NYHA功能,心力衰竭风险增加,低氧化,肺动脉高血压,产后出血,长时间住院SICU,早产,低出生体重,和感染/窒息.
结论:
- 怀孕前缺乏心脏外科纠正是CCHD患者怀孕不良结果的独立风险因素.
- 在怀孕前及时进行心脏整形手术对于减少不良妊娠结果和提高CCHD怀孕的安全性至关重要.
相关概念视频
Mitral Valve Prolapse III: Nursing Management
586
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
586
Cardiomyopathy II: Dilated Cardiomyopathy
790
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
790
Cardiomyopathy III: Hypertrophic Cardiomyopathy
805
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
805
Cardiomyopathy V: Interprofessional Care
753
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
753
Cardiomyopathy VI: Nursing Management
481
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
481
Cardiomyopathy VII: Pre and Post Operative Nursing Management
460
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
460

