CAJ | 학술논문

目的探讨妊娠合并心房纤颤对母儿的影响及诊治方法.方法回顾性分析2000年1月-2009年1月我院诊治的11例妊娠合并心房纤颤患者的临床资料.结果 11例妊娠合并心房纤颤患者中8例有器质性心脏病,风湿性心脏病是主要病因,8例有器质性心脏病患者中6例心功能Ⅲ～Ⅳ级;3例无器质性心脏病者心功能Ⅱ级.结论患器质性心脏病的孕妇合并心房纤颤易致母亲心功能恶化,应动态监测心功能,为确保母亲安全,宜适时引产或行剖宫产术终止妊娠.
목적 탐토임신합병심방섬전대모인적영향급진치방법.방법 회고성분석2000년1월-2009년1월아원진치적11례임신합병심방섬전환자적림상자료.결과 11례임신합병심방섬전환자중8례유기질성심장병,풍습성심장병시주요병인,8례유기질성심장병환자중6례심공능Ⅲ～Ⅳ급;3례무기질성심장병자심공능Ⅱ급.결론 환기질성심장병적잉부합병심방섬전역치모친심공능악화,응동태감측심공능,위학보모친안전,의괄시인산혹행부궁산술종지임신.
Objective To explore the influence of atrial fibrillation on mother and fetus during pregnancy,and its diagnosis and treatment.Methods The clinical data of 11 inpatients with pregnancy complicated by atrial fibrillation admitted in our Hospital from January 2000 to January 2009 were analyzed retrospectively.Results Among the 11 patients there were 8 whose organic heart disease and rheumatic heart disease were the major causes for atrial fibrillation.Of the 8 patients there were 6 whose cardiac function was grade Ⅲ-Ⅳ;while the cardiac function of the 3 patients with no organic heart diseases was grade Ⅱ.Conclusion The pregnant women with organic heart disease complicated by atrial fibrillation are liable to get deteriorated cardiac function.So their heart function need to be dynamically monitored,and induced abortion or cesarean section at the right moment should be considered to keep the mother safe.