妊娠合并无结构性心脏病心律失常877例临床分析

发布时间：2018-07-05 04:10

  本文选题：无结构性心脏病 + 心律失常　； 参考：《实用妇产科杂志》2016年08期

【摘要】：目的:探讨妊娠合并无结构性心脏病心律失常患者的治疗及妊娠结局。方法:收集1993年1月至2014年12月在上海交通大学医学院附属仁济医院分娩的877例无结构性心脏病心律失常患者的临床资料,对心律失常类型、治疗及妊娠结局进行分析。结果:877例妊娠合并心律失常以室性早搏最为常见(456例,占52.0%),其次为窦性心动过速(182例,占20.8%)。患者足月分娩819例(93.4%)。孕期心功能Ⅰ~Ⅱ级者占99.4%(872/877),Ⅲ~Ⅳ级者0.6%(5/877);178例(20.4%)心功能Ⅰ~Ⅱ级患者予抗心律失常治疗,而5例(100.0%)心功能Ⅲ~Ⅳ级患者均予抗心律失常治疗;心功能Ⅲ~Ⅳ级者平均分娩孕周明显短于Ⅰ~Ⅱ级(38.8±1.4周vs 37.7±1.7周,P0.001),围生儿不良结局发生率明显高于Ⅰ~Ⅱ级(8.0%vs 100.0%)。结论:无结构性心脏病心律失常患者以早搏居多,大部分患者心功能状态良好,能够耐受妊娠,经抗心律失常治疗后妊娠结局良好。
[Abstract]:Objective: to investigate the treatment and pregnancy outcome of patients with pregnancy without structural heart arrhythmia. Methods: from January 1993 to December 2014, the clinical data of 877 patients with arrhythmia without structural heart disease who were delivered in Renji Hospital affiliated to Shanghai Jiaotong University Medical College were collected. The types of arrhythmia, treatment and pregnancy outcome were analyzed. Results Ventricular premature beats (456 cases, 52.0%) and sinus tachycardia (182 cases, 20.8%) were the most common cases of ventricular arrhythmia in 877 cases of pregnancy. There were 819 cases (93.4%) in term delivery. During pregnancy, 99.4% (872 / 877) of patients with cardiac function grade 鈪，

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