北京大学学报(医学版) ›› 2014, Vol. 46 ›› Issue (6): 986-989.

• 病例报告 • 上一篇    下一篇

妊娠合并艾森曼格综合征1例并文献复习

郭晓玥,邵珲,陈运山,刘春雨,张龑,赵扬玉△   

  1. (北京大学第三医院妇产科,北京100191)
  • 出版日期:2014-12-18 发布日期:2014-12-18

Eisenmenger’s syndrome in pregnancy: a case report and literature review

GUO Xiao-yue, SHAO Hui, CHEN Yun-shan, LIU Chun-yu, ZHANG Yan, ZHAO Yang-yu△   

  1. (Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China)
  • Online:2014-12-18 Published:2014-12-18

关键词: Eisenmenger复合征, 妊娠, 诊断, 治疗, 症状和体征

Abstract: Objective: To investigate the clinical presentation, diagnosis and treatment of the Eisenmenger’s syndrome in pregnancy.  Methods:  One case of Eisenmenger’s syndrome in pregnancy in our hospital was retrospectively analyzed and the literature reviewed.  Results: This patient who received antenatal care irregularly in other hospital was diagnosed with Eisenmenger’s syndrome with the symptoms of chest distress. The other hospital suggested her to terminate pregnancy, but the patient refused. She was admitted to our hospital in her late pregnancy, received the treatment of rest, oxygen, blood gas and pulmonary artery pressure monitoring. Considering perioperative pulmonary hypertension crisis likely to occur, pulmonary artery catheter was placed preoperatively. In general anesthesia, the cesarean was performed. After operation, the patient was transferred to the intensive care unit, with the treatment of expanding blood vessels, reducing pulmonary artery pressure, administering anticoagulation and preventing infection. One week later, the patient was discharged from hospital with smooth condition.  Conclusion:  Eisenmenger’s syndrome in pregnancy is associated with extremely poor maternal and fetal outcome. Termination of pregnancy should be offered to such patients. When interruption of pregnancy is refused, the early hospital admission is needed. The patients should be managed in a highrisk pregnancy unit by a multidisciplinary team from obstetrics, cardiology, anesthesia and pediatrics for improving pregnancy outcomes.

Key words: Eisenmenger complex, Pregnancy, Diagnosis, Therapy, Symptoms and signs

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