ECHOCARDIOGRAPHIC FINDINGS IN PATIENTS WITH RHEUMATIC HEART DISEASE DURING LABOR AND DELIVERY

Chen Qingwei et al

doi:10.13406/j.cnki.cyxb.1990.03.004

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ECHOCARDIOGRAPHIC FINDINGS IN PATIENTS WITH RHEUMATIC HEART DISEASE DURING LABOR AND DELIVERY

更新时间：2024-01-17

- ECHOCARDIOGRAPHIC FINDINGS IN PATIENTS WITH RHEUMATIC HEART DISEASE DURING LABOR AND DELIVERY
- Journal of Chongqing Medical University Issue 3, Pages: 191-195(1990)
- 作者机构：
  
  重庆医科大学第二医院内科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1990.03.004
  CLC：
- Published：1990，
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[1]陈庆伟,李德旺.风湿性心脏病分娩期的超声心功能研究[J].重庆医科大学学报,1990(03):191-195.

Chen Qingwei et al. ECHOCARDIOGRAPHIC FINDINGS IN PATIENTS WITH RHEUMATIC HEART DISEASE DURING LABOR AND DELIVERY. [J]. Journal of Chongqing Medical University (3):191-195(1990)
[1]陈庆伟,李德旺.风湿性心脏病分娩期的超声心功能研究[J].重庆医科大学学报,1990(03):191-195. DOI： 10.13406/j.cnki.cyxb.1990.03.004.

Chen Qingwei et al. ECHOCARDIOGRAPHIC FINDINGS IN PATIENTS WITH RHEUMATIC HEART DISEASE DURING LABOR AND DELIVERY. [J]. Journal of Chongqing Medical University (3):191-195(1990) DOI： 10.13406/j.cnki.cyxb.1990.03.004.

摘要

本文用超声心动图对13例风湿性心脏病孕妇生产期的心脏及血流动力学变化进行了观察。包括10例剖宫产和3例自发性阴道分娩。结果表明除硬膜外麻醉引起血压暂时下降外

剖宫产对心功能的影响较小。而自发性阴道分娩可导致血压、心率和体循环血管阻力显著增加

心输出量下降

尤在第二产程时明显。提示风心病患者的生产方式以剖宫产似较自发性阴道分娩为好

Abstract

Echocardiographic measuraments -were carried out in 53 patients with chronic rheumatic heart disease (RHD) during labor and delivery .Ten patients were delivered b-y cesarean section and tkree patients were delivered vaginally.Only mild alterations In maternal cardiovascular function were encountered undergoing cesarean section under epidural anesthesia

excepting a transient decline in blood pressure. A significant incre-

ase in blood pressure

heart rate and systemic vascular resistance were observed in t-he second stage of labor. A decrease in cardiac output was demonstrated at the same t-ime.Our results suggest that cesarean section as the mode of choice for delivery in pat- -

ients with

RHD is better than that of the vaginal delivery

关键词

风湿性心脏病分娩剖宫产阴道分娩超声心动图

Keywords

Rheumatic heart discaseLaborcesarean sectionvaginal deliverycchocadi-ography

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Related Institution

Department of Gynecology and Obstetrics，the Suining Center Hospital

Department of Obstetrics and Gynecology, College of Clinical Medicine

Department of Obstetrics and Gynecology,College of Clinical Medicine,Chongqing Medical University

重庆医科大学临床学院妇产科

Department of Anesthesiology,the First Affiliated Hospital,Chongqing Medical University

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