Gast M J, Rigg L A
Obstet Gynecol. 1985 Sep;66(3 Suppl):5S-7S.
Class H diabetes is defined as the presence of diabetes of any duration associated with ischemic myocardial disease. Because of a lack of experience with the coexistence of myocardial ischemic disease and diabetes during pregnancy, it is difficult to offer patients an accurate prognosis for mother and infant during such a gestation. Previous reports suggest that outcomes in this situation are almost routinely poor. It is likely, however, that there is a subset of patients within the class H diabetic population in whom pregnancy can be successful. Reported are the pregnancies of three such patients. The authors suggest that careful attention to cardiac status and glycemic control contribute to both maternal and fetal well-being. Prepregnancy screening of class H patients for evidence of cardiac dysfunction may allow for the screening of those class H diabetic women who are most likely to achieve successful pregnancy outcome.
H 类糖尿病被定义为患有任何病程的糖尿病且伴有缺血性心肌病。由于缺乏孕期心肌缺血性疾病与糖尿病并存的经验，很难在此类妊娠期间为患者提供母婴准确的预后情况。先前的报告表明，这种情况下的结局几乎总是很差。然而，H 类糖尿病患者群体中可能存在一部分患者，其妊娠能够成功。本文报告了三名此类患者的妊娠情况。作者认为，密切关注心脏状况和血糖控制对母婴健康均有益。对 H 类患者进行孕前心脏功能障碍证据筛查，可能有助于筛查出最有可能获得成功妊娠结局的 H 类糖尿病女性。
