妊娠合并心力衰竭对胎儿和新生儿的不良影响

doi:10.3969/j.issn.2095-5340.2021.06.001

发育医学电子杂志

2021, Vol. 9

Issue (6): 401-405 DOI: 10.3969/j.issn.2095-5340.2021.06.001

围产医学母源性疾病｜新生儿

妊娠合并心力衰竭对胎儿和新生儿的不良影响

赵武

安徽蚌埠医学院第一附属医院

Adverse effects on fetal and neonates in pregnant women with heart failure

Zhao Wu

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摘要　心力衰竭为心功能不全失代偿期。妊娠、分娩或产后早期，尽管心脏充盈压由于心功能不全而升高或保持正常，但仍存在心排血量低的情况^［1］。随着越来越多的结构性心脏病女性得以早期诊断并手术矫正而生存至生育年龄，妊娠合并心脏病在世界范围内备受关注^［2］。美国资料表明，2003 年至2012 年这期间，心脏病孕妇增加了24.7%，与先天性心脏病（congenital heart disease，CHD）、心肌病和肺动脉高压妇女选择性妊娠有关^［3］。心力衰竭是心脏病女性妊娠最常见的并发症之一，2019 年欧洲心脏病学会妊娠及心脏病注册项目（registry ofpregnancy and cardiac disease，ROPAC）报道心脏病孕妇心力衰竭发生率为11.0%^［4］。在世界范围内，妊娠合并心力衰竭的发生率每年增加1% ~ 4%，占孕妇死亡原因的9%^［5］。随着高龄孕妇的增加和共患病如高血压发病率的升高，妊娠合并心力衰竭的发生率有进一步升高的趋势^［6］。妊娠合并心力衰竭对胎儿和新生儿的结局有不良影响，有报道显示其死胎、早产、胎儿生长受限、呼吸窘迫综合征合并症的发生率为23.3%^［7］。

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关键词: 妊娠')" href="#">妊娠心力衰竭新生儿')" href="#">新生儿

收稿日期: 2020-10-22 发布日期: 2021-11-29

通讯作者: 赵武 E-mail: jellifish@163.com

引用本文:

赵武. 妊娠合并心力衰竭对胎儿和新生儿的不良影响[J]. 发育医学电子杂志, 2021, 9(6): 401-405.
Zhao Wu. Adverse effects on fetal and neonates in pregnant women with heart failure. Journal of Developmental Medicine(Electronic Version), 2021, 9(6): 401-405.

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