论文部分内容阅读
1952年Hufnagel等发表人工心瓣膜置换术以来,全世界置换瓣膜者已有很多。换瓣后妊娠的报道已超过200例。本文整理了新泻医科大学妇产科30例换瓣后妊娠、分娩的病例,从临床统计学出发,以围产期为重点,进行了观察和讨论。 1.本组病人皆为1945年以来,新泻医科大学第二外科置换的Starr-Edwards型人工心瓣膜。其中置换二尖瓣(MVR)者14例,主动脉瓣(AVR)6例,三尖瓣(TVR)1例,MVR+AVR者4例,MVR+TVR者5例,共30例。 2.30例病人中17例分娩,5例自然流产,8例人工流产。分娩的17例中有14例于孕期使用了香豆素、潘生丁、肝素等抗凝剂。 3.以本科治疗的妊娠合并非换瓣心脏病的181
Since the publication of artificial heart valve replacement by Hufnagel in 1952, there have been many replacement valves all over the world. Reported about pregnancy after valve replacement has more than 200 cases. This article sorted out 30 cases of pregnancy and childbirth after prosthetic valve replacement in Niigata Medical University. From the clinical statistics, we focused on the perinatal period, and observed and discussed. 1. The patients in this group were Starr-Edwards prosthetic heart valves replaced by the second surgical department of Niigata Medical University since 1945. There were 14 cases of MVR, 6 cases of aortic valve, 1 case of tricuspid valve, 4 cases of MVR + AVR and 5 cases of MVR + TVR. Of the 30 patients, 17 had childbirth, 5 had spontaneous abortion, and 8 had induced abortion. Of the 17 cases of childbirth, 14 used coumarin, dipyridamole, heparin and other anticoagulants during pregnancy. 3. Undergraduate treatment of pregnancy combined with non-valve disease heart disease