四种不同病因导致的妊娠期心力衰竭与妊娠结局的分析

【摘要】目的:探讨妊娠合并心衰四种不同发病原因与妊娠结局的关系。方法：回顾性分析2004年12月至2007年9月广州市重症孕产妇救治中心收治的54例妊娠期心力衰竭患者，对其发病原因及妊娠结局进行分析。结果：①54例妊娠合并心力衰竭患者中妊娠期高血压疾病34例 , 妊娠合并风湿性心脏病8例 ，其中2例孕产妇死亡。围产期心肌病7例 , 妊娠合并甲亢性心脏病5例 。其终止妊娠的时间分别是(33.26±2.66)周、(32.46±5.97)周、(37.22±4.88)周、(36.34±4.67)周。新生儿出生体重分别为 (1836.39±663.89)、(1839.71±889.95) 、(2546±546.38); (2433.28±445.32)。新生儿死亡例数分别为5个；2个；2个；0个。结论: 明确妊娠合并心衰的原因，及时正确处理 ，有利于降低围产期孕产妇和围产儿的死亡率。

【关键词】妊娠合并症；心力衰竭；产科结局；围生结局

Clinical Analysis about the outcomes of pregnant women complicated with heart failure Yang Jie,  Yu L in, Chen Dun-jin, el al

Department of Obstetrics and Gynecology, Third-affiliated hospital  of Guangzhun medical college，Guangzhun  510150 China

Abstract： Objective To investigate the relationship between the pregnancy outcome and the primary disease of pregnancy complicated with heart failure． Methods  The clinical data of the causes，timing，management and outcomes of 54 cases of pregnant women complicated with heart failure from november 2004 to september 2007 were analyzed retrospectively． Results  (1)Thirty-four cases of heart failure in pregnancy were caused by pregnancy-induced hypertension(PIH)，8 by rheumatic heart disease,7 by peripartum cardiomyopathy and 7  by hyperthyroidism．②The heart failure appeared at the average of(32.46±3.97)weeks in rheumatic heart disease． The average terminal time of pregnancy was (33.26±2.66) weeks with pregnancy-induced hypertension , （37.22±4.88） weeks in peripartum cardiomyopathy and （36.34±4.67） weeks in hyperthyroidism． Conclusion  Pinpointing the causes of heart failure in pregnant patients and treating accordingly may be conducive to reduce the maternal and perinatal mortality．

Key words：Pregnancy complication；Heart failure ；Obstetrical outcome； Perinatal outcome