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[法洛四联症女性妊娠的心脏学方面。多胎妊娠病例描述及文献综述]

[Cardiological aspects of pregnancy in women with tetralogy of Fallot. Description of a case of multiple pregnancies and review of the literature].

作者信息

Ferro M, Conti M

机构信息

Ospedale E. Agnelli, Pinerolo, Torino.

出版信息

Minerva Cardioangiol. 1990 Nov;38(11):501-3.

PMID:2093853
Abstract

A case report concerning a patient who received a late surgical correction of a tetralogy of Fallot, at the age of 26, and then had the chance of two pregnancies with no or little risk. The patient was severely cyanotic (erythrocytes 6,440,000/ml-Ht 58.3%-Hb 19.5 g/100 ml) with balanced pressures between the two ventricular cavities and 72 mmHg gradient between right ventricle and pulmonary artery. Before the operation two pregnancies resulted in abortions: the former was before the correction of the cardiac malformation and the latter just after. Then two pregnancies were successful and both the newborn males were healthy and completely free from congenital diseases, and in particular cardiac. Brief examination of literature.

摘要

一份病例报告,讲述一名26岁接受法洛四联症晚期手术矫正的患者,之后有两次妊娠机会,且风险极小或无风险。该患者严重发绀(红细胞6440000/ml - 血细胞比容58.3% - 血红蛋白19.5g/100ml),两心室腔压力平衡,右心室与肺动脉之间压差为72mmHg。手术前两次妊娠均以流产告终:前者发生在心脏畸形矫正前,后者在矫正后不久。之后两次妊娠成功,两个新生男婴均健康,完全没有先天性疾病,尤其是心脏方面的疾病。文献简要综述。

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