文档介绍::..妊娠合并肺动脉高压诊断及治疗[摘要]目的:探讨妊娠合并肺动脉高压的临床表现、诊断和治疗。方法:回顾分析2例妊娠合并肺动脉高压患者的临床资料。结果:第1例患者为妊娠合并继发性肺动脉高压,孕35周剖宫产,术后5d岀现胸闷、呼吸困难、发纟甘,最终抢救无效死亡,临床考虑肺小动脉栓塞。第2例为双胎合并原发性肺动脉高压,因孕34+2周,双胎,活动后胸闷、心悸1周入院。于孕35周剖宫产,产后胸闷、心悸一度加重,经对症治疗好转,产后3周平安出院。结论:妊娠合并肺动脉高压母儿结局不良,患者不宜妊娠。一旦妊娠应早期终止。拒绝终止妊娠者,应加强监护,尤其要监测肺动脉高压和低氧血症的情况。[关键词]肺动脉高压;妊娠并发症;诊断;治疗[+6[文献标识码]B[文章编号]1673-7210(2009)07(3)-197-02DiagnosisandtreatmentofpulmonaryhypertensionduringpregnancyWANGYanhong(DepartmentofGynecologyandObstetrics,GeneralHospitalofPuyangOilField,Puyang457001,China)[Abstract]Objective:Toinvestigateclinicalpresentation‘:Twopatientswithpulmonaryhypertensionduringpregnancywerereportedretrospective!:,dyspneaandcyanosisafterfivedays,,palpitationduringdailylifeforoneweek・-:e・Pregnancyiscontraiindicatedinsuchpat