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首页> 外文期刊>Sao Paulo Medical Journal >Obstetric and perinatal aspects in patients with congenital heart diseases
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Obstetric and perinatal aspects in patients with congenital heart diseases

机译：先天性心脏病患者的产科和围产期方面

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The benefits of surgical treatment for patients with congenital heart disease in relation to pregnancy are still controversial. We studied 48 pregnant women (mean age = 25 years) with surgically-corrected congenital heart diseases (Group 1). This included 15 cyanotic diseases: Fallot's tetralogy (11 cases); Ebstein's anomaly (2 cases); transposition of the great arteries (1 case); and double outlet of the right ventricle (1 case). We compared them to 52 pregnant women (mean age = 26 years) with untreated congenital heart diseases, which included 11 cases of Eisenmenger's syndrome (Group 2). Group 2 showed a higher incidence of maternal death (12 vs. 0 percent; p=0.01), perinatal mortality (15 vs. 0 percent; p=0.01) and prematurity (32 vs. 7 percent; p=0.01). Spontaneous abortion (4 vs. 10 percent), Caesarean deliveries (48 vs. 66 percent) or growth retardation (13 vs. 28 percent) did not present any significant differences between these groups. Surgical treatment in patients with heart diseases is associated with a better maternal and fetal prognosis. Therefore, surgery must be considered when counseling patients with congenital heart diseases.
机译：与妊娠有关的先天性心脏病患者手术治疗的益处仍存在争议。我们研究了48位经手术纠正的先天性心脏病的孕妇（平均年龄= 25岁）（第1组）。其中包括15种紫otic病：法洛氏四联症（11例）; Ebstein氏异常（2例）;大动脉移位（1例）;和右心室的双出口（1个案例）。我们将他们与52例未经治疗的先天性心脏病的孕妇（平均年龄= 26岁）进行了比较，其中包括11例艾森曼格综合征（第2组）。第2组显示较高的孕产妇死亡发生率（12％vs. 0％; p = 0.01），围产期死亡率（15％vs. 0％; p = 0.01）和早产（32％vs. 7％; p = 0.01）。在这两组之间，自然流产（4％对10％），剖腹产（48％对66％）或生长迟缓（13％对28％）没有显着差异。心脏病患者的外科治疗与更好的母婴预后有关。因此，咨询先天性心脏病患者时必须考虑手术。

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