Teplick F B
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(3):420-8.
Pulmonary hypertension may be primary, of unknown etiology, or secondary to existing cardiorespiratory disease. In general, the prognosis is poor, but the superimposed physiologic changes of pregnancy, labor, and delivery may produce a lethal condition. Pregnancy prevention is better than any proposed care. If pregnancy occurs, termination is suggested in the first or early second trimesters. If the choice is to continue the pregnancy, a well-coordinated intensive management plan is necessary. This plan should include midsecond trimester hospital admission of the patient, continuous hemodynamic monitoring during the intrapartum period and immediately after delivery, and preferably elective induction with hemodynamically stable epidural anesthesia for labor and delivery.
肺动脉高压可能是原发性的，病因不明，也可能继发于现有的心肺疾病。一般来说，预后较差，但妊娠、分娩和产时的叠加生理变化可能会导致致命状况。预防妊娠优于任何建议的治疗。如果怀孕，建议在孕早期或孕中期早期终止妊娠。如果选择继续妊娠，则需要一个协调良好的强化管理计划。该计划应包括患者在孕中期入院，分娩期间及分娩后立即进行持续血流动力学监测，最好选择血流动力学稳定的硬膜外麻醉进行择期引产以进行分娩。
