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目的探讨妊娠期高血压性心脏病的诊断及治疗。方法 2006年5月至2011年5月妊娠期高血压性心脏病患者52例的临床资料进行回顾性分析。结果 52例患者,因宫口开全行产钳助产者6例,43例在控制心力衰竭的同时采取剖官产术对妊娠进行终止,3例心衰控制不理想,在各科医生监护下行剖宫产术。共分娩57例新生儿,存活53例,围生儿死亡4例,病死率为7.02%,新生儿窒息5例,其中轻度窒息3例,重度窒息2例,无1例孕产妇死亡。结论剖宫产术是终止妊娠期高血压性心脏病安全的最佳方式。
Objective To investigate the diagnosis and treatment of hypertensive heart disease during pregnancy. Methods The clinical data of 52 patients with hypertensive heart disease during pregnancy from May 2006 to May 2011 were analyzed retrospectively. Results In the 52 patients, 6 cases of forceps were delivered by the forceps due to cervix, 43 cases were terminated by cesarean section while controlling heart failure. 3 cases of heart failure were not controlled satisfactorily, Cesarean section. A total of 57 newborns were delivered, 53 survived, 4 perinatal deaths, with a mortality rate of 7.02% and neonatal asphyxia in 5 cases. Among them, 3 were mild asphyxia and 2 were severe asphyxia. No other maternal death occurred. Conclusion Cesarean section is the best way to terminate the hypertensive heart disease during pregnancy.