妊娠合并艾森曼格综合征12例妊娠结局分析

摘要

Objective To investigate the outcome and the deal of the mother and infant pregnancy with Eisenmenger syndrome.Methods A retrospective analysis of 12 cases of pregnant women with Eisenmenger syndrome,admitted in January 2000 to August 2016 in Anhui Provincial Hospital.Results Among the 12 patients,there were 2 cases of pregnancy,10 cases of later pregnancy(7 cases preterm,3 cases term).Eight cases with none examinations on pregnancy were transfered to hospital because of chest tightness,breath shortness and other emergency admission.Four cases with non-regular or regular examinations on pregnancy had closely monitoring of cardiac function and fetal development,which chosen elective cesarean section.Five cases of mother died and 7cases were alive.Among the perinatal infants,there were 7 cases of premature infants,3 cases of term infants,2 cases of perinatal death.Conclusion Pregnant women with Eisenmengerg syndrome have a poor prognosis.Patients should be strengthened perinatal care,early hospital care if they stick to continuing pregnancy.It is important to strengthen the cooperation between heart medicine,anesthesiology,ICU and neonatology,that patients can pass through the perinatal period safely and have improved prognosis of mother and infant.%目的 分析妊娠合并艾森曼格综合征的母儿结局及处理.方法 回顾性分析2000年1月-2016年8月安徽省立医院收治的12例妊娠合并艾森曼格综合征病人的临床资料.结果 12例病人中,2例中孕,10例晚孕(其中早产7例,足月产3例).8例病人未行产检,因胸闷、气促等急诊入院,4例定期或非定期产检,监测心功能及胎儿情况,择期剖宫产.孕产妇5例死亡,7例存活.围产儿中7例早产儿,3例足月产儿,2例围产儿死亡.结论 妊娠合并艾森曼格综合征母儿预后极差,如病人坚决要求继续妊娠者,应加强产期保健,尽早住院监护,并加强与心内科、麻醉科、重症监护病房、新生儿科等多学科合作,改善母儿预后.