CAJ | 학술논문

目的：观察艾森曼格综合征妊娠妇女的妊娠结局，探讨围生期的临床治疗。方法回顾性分析2008年1月—2012年12月在中国医科大学附属盛京医院分娩的14例艾森曼格综合征妊娠妇女的治疗和妊娠结局。14例孕妇通过多学科协作进行围生期评估和咨询，制定周密的个性化治疗方案，均选择剖宫产术。结果14例孕妇产后出血4例，在院死亡3例，产后3个月内死亡1例。新生儿死亡2例，存活12例。结论艾森曼格综合征妊娠妇女围生期母儿病死率较高，需要通过多学科协作制定个性化的治疗方案，围生期需要密切监护和周密的治疗，尤其要注意产时、产后出血对心血管功能的影响。
목적：관찰애삼만격종합정임신부녀적임신결국，탐토위생기적림상치료。방법회고성분석2008년1월—2012년12월재중국의과대학부속성경의원분면적14례애삼만격종합정임신부녀적치료화임신결국。14례잉부통과다학과협작진행위생기평고화자순，제정주밀적개성화치료방안，균선택부궁산술。결과14례잉부산후출혈4례，재원사망3례，산후3개월내사망1례。신생인사망2례，존활12례。결론애삼만격종합정임신부녀위생기모인병사솔교고，수요통과다학과협작제정개성화적치료방안，위생기수요밀절감호화주밀적치료，우기요주의산시、산후출혈대심혈관공능적영향。
Objective To observe the outcomes of pregnant women with Eisenmenger syndrome and to investigate the treatment during perinatal period, Methods 14 cases of pregnant women with Eisenmenger syndrome treated in the Shengjing Hospital of China Medical University from January 2008 to December 2012 were analyzed retrospectively in terms of perinatal man-agement and pregnancy outcomes, Through multidisciplinary collaboration,all the cases were given perinatal assessments,consul-tations and individual management plans, The cases all chose cesarean section, Results Four cases suffered from postpartum hem-orrhage, Three cases died during hospitalization,one case died within 3 months after delivery, Two neonates died and 12 sur-vived, Conclusion Pregnancy with Eisenmenger syndrome has high incidence of perinatal maternal mortality,which needs care-ful management by multidisciplinary collaboration to generate satisfactory outcomes, Particularly,we should pay attention to intra-partum and postpartum hemorrhage,which may influence the cardiovascular function.