摘要
目的：了解心动过缓孕妇患者安装心脏起搏器的临床效果。方法：回顾分析我院１９８０年至１９９６年，５例因妊娠合并心动过缓而安装起搏器孕妇的资料，其中４例为Ⅲ°房室传导阻滞；１例为窦性心动过缓。心功能Ⅳ级１例；Ⅲ级３例；Ⅱ级１例。５例中１例在孕前安装心脏起搏器，４例在孕期安装起搏器。结果：安装起搏器后心功能得到改善，３例足月剖宫产分娩，母婴安全。２例顺利进行治疗性流产术。结论：Ⅲ°房室传导阻滞是妊娠期的严重合并症，应尽可能在孕前或孕早期安装起搏器；分娩方式以剖宫产为宜。
Objective: To study the clinical results in pregnant women with bradycardia implanted with cardiac pacemakers. Method: Five pregnant women with bradycardia were retrospectivly studied in our hospital from 1980 to 1996. Results: Four of the patients had A V block, and the other one sinus bradycardia. Classification of cardiac function, showed 1 case of class Ⅳ, 3 cases of class Ⅲ, and 1 case of class Ⅱ before implantation of cardiac pacemaker. One case had the pacemaker implanted before pregnancy and 4 cases during pregnancy. Cardiac function improved significantly after implantation and pregnancies went uneventfully. Three women had term living birth by cesarean section, and 2 ended by therapeutic abortions safely. Conclusion: Bradycardia is a rare and serious complication in pregnancy, especially due to A V block of Ⅲ degree. Cardiac pacemaker should be implanted before pregnancy or at early stage of pregnancy in order to maintain adequate heart function. These patients should receive cesarean section.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1997年第6期345-346,共2页
Chinese Journal of Obstetrics and Gynecology
关键词
妊娠并发症
心脏传导阻滞
心动过缓
心脏起搏器
Pregnancy complications, cardiovascular Heart block Pacemaker, artificial
