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妊娠合并心脏病是产科常见合并症,是导致孕产妇和围产儿死亡的重要原因之一。由于妊娠和分娩期间血流动力学改变,心脏病孕产妇发生心力衰竭、血栓形成、心律失常甚至死亡等并发症的风险上升。本文从孕产妇心功能、临床病史、体格检查、实验室辅助检查等方面,对心脏病孕产妇的妊娠风险评估作一综述,并在此基础上进行危险分层管理,确保心脏病孕产妇良好的妊娠结局。
Pregnancy complicated with heart disease is a common complication of obstetrics, is one of the important causes of maternal and perinatal deaths. Due to hemodynamic changes during pregnancy and childbirth, the risk of complications such as heart failure, thrombosis, arrhythmia and even death from heart disease and pregnancy increases. This article reviews the assessment of pregnancy risk of pregnant women with heart disease from the aspects of heart function, clinical history, physical examination, laboratory auxiliary examination and so on, and based on this, carries out risk stratification management to ensure that heart-disease pregnant women are good Of pregnancy outcomes.