摘要
摘要目的分析探讨心脏瓣膜置换术后患者妊娠与分娩的临床表现与处理方法.方法对３２例心脏瓣膜置换术后患者妊娠及分娩的临床资料进行回顾性分析.结果２例死亡,１例死于心功能衰竭,１例死于脑梗塞.３例自发流产,３例人工流产,２４例妊娠３７~４１周生产２２例剖宫产,２例自然分娩.结论心脏瓣膜置换术后心功能I~II级可安全度过孕产期;剖宫产是比较安全的分娩方式;妊娠期采用小剂量华法令抗凝治疗是安全的.关键词心脏瓣膜置换术;妊娠;分娩TreatmentofpregnancyanddeliveryaftercardiacvaluereplacementAbstractObjectiveToanalysetheexpressionandtreatmentofpregnancyanddeliveryaftercardiacvaluereplacement．MethodsAnalyzingretrospectivelytheclincaldataofpregnancyanddeliveryin３２patientsaftercardiacvalvereplacement．Results２casesdiedthat１caseinheartfailureand１caseincerebralinfarcＧtion．３caseshadspontaneousabortionand３caseshadinducedabortion．２４casesaccomplishedpregnancyanddeliverysafely,２２caseswerebycaesareansectionand２caseswerebyvaginaldelivery．ConclusionsMostpatientswithItoIIdegreeofheartfunctioncouldgetthroughpregrancyanddeliverysafelyaftercardiacvaluereplaceKmeyenwto;rCdasesareanSectionisarelativelysafeapproachofdelivery;Smalldoseofwarfarinforanticoagulationissafeduringgestation．cardiacvaluereplacement;pregnancy;delivery中图分类号R７１４．４文献标识码B文章编号１００８－６３１５(２０１５)１２－０１２６－０１
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
