Silfen S L, Wapner R J, Gabbe S G
Obstet Gynecol. 1980 Jun;55(6):749-51.
The term class H diabetes mellitus has recently been used to describe pregnant diabetic women with ischemic heart disease. In such patients, the risks of abortion may approach those of continuing the gestation. Because significant cardiac disease can occur with diabetes of even recent onset, a baseline electrocardiogram is thus recommended for all pregnant diabetic women. Review of the literature reveals 11 cases, 8 of which resulted in maternal death. The authors have successfully treated a class H diabetic woman who delivered a healthy infant at 36 weeks' gestation.
H类糖尿病这一术语最近被用于描述患有缺血性心脏病的妊娠糖尿病女性。在此类患者中，流产风险可能接近继续妊娠的风险。由于即使是近期发病的糖尿病也可能伴有严重心脏病，因此建议所有妊娠糖尿病女性进行基线心电图检查。文献回顾显示有11例病例，其中8例导致孕产妇死亡。作者成功治疗了一名H类糖尿病女性，该女性在妊娠36周时产下一名健康婴儿。
