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目的探讨对妊娠合并艾森曼格综合征患者的治疗对策,以期降低此类孕、产妇的病死率。方法回顾性分析北京大学第一医院2002年1月至2006年12月期间收治的4例妊娠合并艾森曼格综合征患者。结果4例患者年龄22～34岁,孕周34～35周。2例患者未定期孕期检查,外院急诊转入,1例临产急诊入院后1h余阴道分娩,分娩后突然死亡;另外1例行剖宫产术。其余2例为定期产前保健者,孕晚期入院监护治疗,给予吸氧、卧床休息、严密监测生命体征、血液动力学、血气的变化及胎儿发育情况,择期行剖宫产术。3例行剖宫产者产科与心内科、麻醉科医师密切合作,评估患者的心功能并动态观察,产后恢复良好。结论妊娠合并艾森曼格综合征母儿预后很差,不宜妊娠,一旦妊娠应尽早行人流术终止妊娠。如果患者坚决要求继续妊娠,应加强产前保健尽早住院监护,加强与心内科、麻醉科、新生儿科合作,全面、正确、有效的处理有助于使患者平稳渡过围生期,改善母儿的预后。
Objective To explore the treatment of patients with pregnancy complicated with Eisenmenger syndrome in order to reduce the mortality of such pregnancy and maternal. Methods A retrospective analysis of Peking University First Hospital from January 2002 to December 2006 were treated during the 4 cases of pregnancy combined with Eisenmenger syndrome. Results 4 patients aged 22 to 34 years, gestational age 34 to 35 weeks. 2 cases of patients did not regularly check during pregnancy, hospital emergency department transferred, 1 case of emergency labor after admission 1h vaginal delivery, sudden death after delivery; the other 1 case of cesarean section. The remaining 2 cases were regular prenatal caregivers, admitted to hospital in the third trimester of pregnancy, given oxygen, bed rest, close monitoring of vital signs, hemodynamics, blood gas changes and fetal development, elective cesarean section. 3 routine cesarean section of obstetrics and cardiology, anesthesiologists work closely to assess the patient’s cardiac function and dynamic observation of postpartum recovery was good. Conclusion Pregnancy with Eisenmenger syndrome maternal and child prognosis is poor, should not be pregnant, once pregnancy should terminate the pregnancy as soon as possible after the abortion. If the patient is strongly required to continue the pregnancy, should strengthen early hospitalization of antenatal care, strengthen cooperation with the Department of Cardiology, Anesthesiology, Neonatology, comprehensive, correct and effective treatment helps to make patients smoothly through the perinatal period, improve the mother The prognosis.