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[艾森曼格综合征与妊娠]

[Eisenmenger's syndrome and pregnancy].

作者信息

Sulović V, Radunović N, Krstić N

出版信息

Jugosl Ginekol Opstet. 1983 Sep-Dec;23(5-6):131-2.

PMID:6679003
Abstract

Eisenmenger's syndrome is one of the congenital heart defects which deteriorates in the course of pregnancy. For this reason, it is tried to discourage the patient from becoming pregnant, or to strictly interrupt pregnancy up to the 10th gestation week, or -- if the former proves impossible -- to introduce intensive medical supervision until the end of gravidity. A delivery is described of a 23-year old woman, in whom, when 19 years old, Eisenmenger's syndrome -- developed secondarily on the atrial septal defect -- was diagnosed by catheterization. She was admitted to the Department in the 26th week of pregnancy and as successfully confined in the 38th week by using vacuum extraction. Peripartal antibiotic prophylaxis was applied during labour, although she was given oxygen. No derivatives of ergotamine were administered in order to avoid undesirable effects. The loss of blood was controlled and replaced. She was discharged with a healthy girl on the 9th postpartal day without any complications.

摘要

艾森曼格综合征是一种在孕期病情会恶化的先天性心脏缺陷。因此,应尽量劝阻患者怀孕,或在妊娠第10周前严格终止妊娠,或者——如果前者无法实现——在妊娠结束前进行强化医疗监护。本文描述了一例23岁女性的分娩情况,该女性19岁时通过心导管检查诊断为继发于房间隔缺损的艾森曼格综合征。她在妊娠第26周入院,并在第38周通过真空吸引成功分娩。分娩期间进行了围产期抗生素预防,同时给予吸氧。为避免不良影响,未使用麦角胺衍生物。控制并补充了失血。产后第9天,她带着一个健康的女婴出院,无任何并发症。

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[Eisenmenger's syndrome and pregnancy].[艾森曼格综合征与妊娠]
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