机械心脏瓣膜与妊娠
Mechanical heart valves and pregnancy.
作者信息
Kelly Bronagh, Walker Niki
机构信息
Scottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, Clydebank, G81 4DY, UK.
出版信息
JRSM Cardiovasc Dis. 2025 Aug 6;14:20480040251365987. doi: 10.1177/20480040251365987. eCollection 2025 Jan-Dec.
Abstract
Pregnancy is an exciting time, with great anticipation of the future for the woman and her baby. However, for women with mechanical heart valves (MHVs) pregnancy is a challenging undertaking fraught with risk to them and their baby. This article considers the issues for the woman, highlighting pre-surgical opportunities, pre-pregnancy counselling, the issues to consider with fertility treatment, the options during pregnancy for anti-coagulation management and the recognition and management of complications. This update stresses the complex challenges in the management of women with MHV during pregnancy and the need for specialist multi-disciplinary team involvement.
摘要
怀孕是一段令人兴奋的时光，女性及其腹中胎儿都对未来满怀期待。然而，对于患有机械心脏瓣膜（MHV）的女性来说，怀孕是一项充满挑战的任务，对她们自身以及腹中胎儿都存在诸多风险。本文探讨了这类女性面临的问题，重点介绍了手术前的时机、孕前咨询、生育治疗时需考虑的问题、孕期抗凝管理的选择以及并发症的识别与管理。此次更新强调了孕期患有机械心脏瓣膜女性管理方面的复杂挑战，以及多学科专家团队参与的必要性。
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