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主动脉瓣狭窄与妊娠

Aortic stenosis and pregnancy.

作者信息

Arias F, Pineda J

出版信息

J Reprod Med. 1978 Apr;20(4):229-32.

PMID:671391
Abstract

Pregnancy in patients with aortic stenosis results in a maternal mortality rate of 17.4% and perinatal mortality rate of 31.6%. Medical treatment, valve replacement and termination of pregnancy are the main modes of therapy. The number of cases reported in the literature is small, and the indications for selecting one method of management over the others have not been established. A case is presented that illustrate some of the difficulties encountered in the management of these patients.

摘要

主动脉瓣狭窄患者怀孕时,孕产妇死亡率为17.4%,围产期死亡率为31.6%。药物治疗、瓣膜置换和终止妊娠是主要的治疗方式。文献报道的病例数量较少,尚未确定选择一种治疗方法优于其他方法的指征。本文介绍了一个病例,该病例说明了这些患者管理中遇到的一些困难。

相似文献

1
Aortic stenosis and pregnancy.主动脉瓣狭窄与妊娠
J Reprod Med. 1978 Apr;20(4):229-32.
2
Aortic stenosis in pregnancy.妊娠期主动脉瓣狭窄
Obstet Gynecol. 1988 Jul;72(1):113-8.
3
[Aortic valve replacement with extracorporeal circulation in a pregnant woman. Apropos of a case].[孕妇体外循环下主动脉瓣置换术。附病例报告]
Ann Chir. 1989;43(2):90-3.
4
[Surgical management of aortic valve stenosis].[主动脉瓣狭窄的外科治疗]
Herz. 2006 Oct;31(7):670-5. doi: 10.1007/s00059-006-2873-z.
5
[Heart valve lesions: clinical indications of treatment].[心脏瓣膜病变:治疗的临床指征]
Clin Ter. 1984 Mar 15;108(5):447-52.
6
[Prosthetic valve thrombosis in pregnancy. A single-center study of 12 cases].[妊娠期人工瓣膜血栓形成。一项针对12例病例的单中心研究]
Arch Mal Coeur Vaiss. 2004 Apr;97(4):305-10.
7
[Extracorporeal circulation in pregnancy: report of a case. Update and review of the literature].[孕期体外循环:一例报告。文献更新与综述]
Rev Esp Cardiol. 1996 Oct;49(10):776-9.
8
Surgical management of valvular heart disease 2004.2004年心脏瓣膜病的外科治疗
Can J Cardiol. 2004 Oct;20 Suppl E:7E-120E.
9
Management of mitral valve stenosis in pregnancy: case presentation and review of the literature.妊娠期二尖瓣狭窄的管理:病例报告及文献综述
J Heart Valve Dis. 1996 Jan;5(1):16-9.
10
[A case of aortic valve replacement complicated by cerebral thromboembolism during pregnancy].1例妊娠期间主动脉瓣置换术后并发脑血栓栓塞
Rinsho Kyobu Geka. 1987 Aug;7(4):369-72.

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Pregnancy With Severe Valve Disease in Low-Resource Populations.资源匮乏地区患有严重瓣膜病的妊娠情况。
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The Use of Echocardiography and Advanced Cardiac Ultrasonography During Pregnancy.孕期超声心动图及高级心脏超声检查的应用
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Congenital and Acquired Valvular Heart Disease in Pregnancy.妊娠期先天性及后天性心脏瓣膜病
Curr Cardiol Rep. 2017 Aug 24;19(10):96. doi: 10.1007/s11886-017-0910-6.
7
Echocardiography in Pregnancy: Part 1.孕期超声心动图检查:第1部分。
Curr Cardiol Rep. 2016 Sep;18(9):92. doi: 10.1007/s11886-016-0760-7.
8
Emergency aortic valve replacement and Caesarian section in a primigravida with severe aortic stenosis: a case report.初产妇合并严重主动脉瓣狭窄行急诊主动脉瓣置换术及剖宫产术:1例病例报告
Heart Asia. 2011 Jan 1;3(1):72. doi: 10.1136/ha.2010.001909. eCollection 2011.
9
Initial non-opioid based anesthesia in a parturient having severe aortic stenosis undergoing cesarean section with aortic valve replacement.一名患有严重主动脉瓣狭窄的产妇在剖宫产同时进行主动脉瓣置换术时,最初采用非阿片类药物麻醉。
Ann Card Anaesth. 2015 Jan-Mar;18(1):98-100. doi: 10.4103/0971-9784.148330.
10
Pregnancy in young women with congenital heart disease: Lesion-specific considerations.患有先天性心脏病的年轻女性怀孕:特定病变的考量因素。
Paediatr Child Health. 2011 May;16(5):e33-7. doi: 10.1093/pch/16.5.e33.