妊娠合并内科疾病(英文)-妇科八年制教学课件.pptVIP

妊娠合并内科疾病(英文)-妇科八年制教学课件 Cardiovascular diseasesPulmonary disordersRenal and urinary tract disordersGastrointestinal disordersHematological disordersConnective tissue disordersNeurological and psychiatric disordersEndocrine disordersDermatological disordersNeoplastic diseasesInfections Heart DiseasesDiabetesHepatitis Disease Heart Disease in Pregnancy妊娠合并心脏病 Heart disease in pregnancyInteraction between heart disease and pregnancy（心脏病与妊娠的相互影响）Peripartum cardiomyopathy, PPCM (围产期心肌病)Medical treatment of pregnant women complicated with heart disease （妊娠合并心脏病的治疗） I want a baby…27 years oldAtrial septal defect 1cmFeel discomfort only after ordinary activityCan I have a babyWhat is the risk for me and my babyWhat should I do during the course of pregnancyBy which way should I delivery my babyAny special thing to be paid attention to after birth Heart DiseaseIncidence:1-4% of pregnancies One of the leading causes of maternal death (8.3%)Death rate 0.6%-2.7% Heart diseasehemodynamic BurdernHeart function32-34 weeks of pregnancyIntrapartumPuerperium (3 days postpartum)Interaction between pregnancy and heart disease Clinical significance of heart disease in pregnancyMother: heart failure; infective endocarditis; hypoxia and cyanosis; thrombenbolismBaby: miscarriage（流产）, still birth （死产）, fetal growth restriction （生长受限）, fetal and newborn distress （呼吸窘迫）, preterm delivery （早产）Increased caesarean section rate （剖宫产）Drug effectHereditary congenital heart disease （先天性心脏病） Classification of Heart DiseaseCongenital heart disease （先天性心脏病）Left-to right shuntRight-to left shuntNon-shuntRheumatic heart disease （风湿性心脏病）Hypertensive heart disease（妊娠期高血压疾病性心脏病）Peripartum cardiomyopathy (PPCM)Myocarditis （心肌炎） Peripartum cardiomyopathy (PPCM) 围产期心肌病Dilated cardiomyopathy occurs during the last 3 months of pregnancy to 6 months postpartum (increased heart size, decreased heart function)Etiology unknownNo history of cardiovascular diseaseDie from heart failure, arrhythmia or pulmonary infar