Tulenov M T
Kardiologiia. 1975 Mar;15(3):124-8.
The rationale of undertaing operative interventions in pregnant women with mitral stenosis of the III and IV stages is analyzed. On the basis of his investigations the author thinks that in women with severe mitral stenosis of the II and IV stages and with the gestation term of up to 30 weeks mitral commissurotomy is indicated. In patients at these stages of the disease and with full-term pregnancy laparotomy may be performed when there is no pulmonary edema and no risk of its development. Simultaneous mitral commissurotomy and cesarian section are indicated in women with mitral stenosis of the III and IV stages and full-term pregnancy in cases of already existing pulmonary edema or when there is a danger of its development.
分析了对处于III期和IV期二尖瓣狭窄孕妇进行手术干预的理论依据。基于其研究，作者认为对于患有II期和IV期严重二尖瓣狭窄且妊娠期限达30周的女性，宜行二尖瓣分离术。对于处于疾病这些阶段且足月妊娠的患者，若不存在肺水肿且无发生肺水肿的风险，可进行剖腹手术。对于处于III期和IV期二尖瓣狭窄且足月妊娠的女性，若已存在肺水肿或有发生肺水肿的危险，则宜同时进行二尖瓣分离术和剖宫产术。
