McCans J L, Wenger N K
South Med J. 1976 Aug;69(8):1007-10. doi: 10.1097/00007611-197608000-00014.
The clinical course, through pregnancy and delivery, of a 30-year-old woman with rheumatic heart disease and a prosthetic mitral valve is presented. Despite maternal development of congestive cardiac failure and atrial fibrillation, the delivery of a healthy infant was achieved. The problems encountered during pregnancy and delivery in patients with rheumatic heart disease and prosthetic valves are discussed. These include the management of long-term anticoagulant therapy, prophylaxis against rheumatic fever and subacute bacterial endocarditis, impaired cardiac function, atrial fibrillation, breast feeding, and contraception as they relate both to the mother and the fetus and infant.
本文介绍了一名患有风湿性心脏病并植入人工二尖瓣的30岁女性在妊娠和分娩期间的临床过程。尽管产妇出现了充血性心力衰竭和房颤，但仍成功分娩出一名健康婴儿。文中讨论了风湿性心脏病和人工瓣膜患者在妊娠和分娩期间遇到的问题。这些问题包括长期抗凝治疗的管理、风湿热和亚急性细菌性心内膜炎的预防、心功能受损、房颤、母乳喂养以及与母亲、胎儿和婴儿相关的避孕问题。
