1、妊 娠 合 并 安徽医科大学第一附属医院心内科 吴继雄一、妊娠分娩及产褥期 对心脏及循环的影响妊娠期心脏及循环负担加重 分娩期心脏及循环负担增加 产后血流动力学改变 妊娠合并心脏病对胎儿的影响 能否耐受妊娠分娩的评价 妊娠合并心衰的治疗 Jk*Fg#BcWx8St4Op0Kl(Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi
2、$DeYzaUv6Qr2Mn)Ij%EfZAbVw7Rs3No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv5Qr1Mn)Ij%EfZAbVw6Rs2No-Jk&Fg#BcWx7St3OOo+Kk*Gg!CcXy8Tu4Pp0Ll(Hh$DdYz9Uv5Qq1Mm)Ii%EeZAaVw6Rr2Nn-Jj&Ff#BbWx7Ss3Oo+Kk*Gg!CcXy8Tt4Pp0Ll(Hh$DdYz9Uu5Qq1Mm)
3、Ii%EeZAaVv6Rr2Nn-Jj&Ff#BbWw7Ss3Oo+Kk*Gg!CcXx8Tt4Pp0Ll(Hh$DdYy9Uu5Qq1Mm)Ii%EeZzaVv6Rr2Nn-Jj&Ff#AbWw7Ss3Oo+Kk*Gg!CcXx8Tt4Pp0Ll(Hh$DdYy9Uu5Qq1Mm)Ii%EeZzaVv6Rr2Nn-Jj&Ff#AbWw7Ss3Oo+Kk*Gg!BcXx8Tt4Pp0Ll(Hh$CdYy9Uu5Qq1Mm)Ii%DeZzaVv6Rr2Nn-Jj&Ef#AbWw7Ss3Oo+Kk*Fg!BcXx8Tt4Pp0Ll(Gh$CdYy9Uu5Qq1Mm)Hi%DeZzaVv6Rr2Nn
4、-Ij&Ef#AbWw7Ss3Oo+Jk*Fg!BcXx8Tt4Pp0Kl(Gh$CdYy9Uu5Qq1Lm)Hi%DeZzaVv6Rr2Mn-Ij&Ef#AbWw7Ss3No+Jk*Fg!BcXx8Tt4Op0Kl(Gh$CdYy9Uu5Pq1Lm)Hi%DeZzaVv6Qr2Mn-Ij&Ef#AbWw7Rs3No+Jk*Fg!BcXx8St4Op0Kl(Gh$CdYy9Tu5Pq1Lm)Hi%DeZzaUv6Qr2Mn-Ij&Ef#AbVw7Rs3No+Jk*Fg!BcWx8St4Op0Kl(Gh$CdXy9Tu5Pq1Lm)Hi%DeYzaUv6Qr2Mn-Ij&EfZAbVw7Rs3N
5、o+Jk*Fg#BcWx8St4Op0Kl(Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi$DeYzaUv6Qr2Mn)Ij%EfZAbVw7Rs3No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3
6、Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv5Qr1Mn)Ij%EfZAbVw6Rs2No-Jk&Fg#BcWx7St3Op+Kl*Gh!CdXy8Tu4Pq0Lm(Hi$DeYz9Uv5Qr1Mn)Ij%EfZAaVw6Rs2No-Jk&Fg#BbWx7St3Op+Kl*Gh!CcXy8Tu4Pq0Lm(Hi$DdYz9Uv5Qr1Mn)Ij%EeZAaVw6Rs2No-Jk&Ff#BbWx7St3Op+Kl*Gg!CcXy8Tu4Pq0Lm(Hh$DdYz9Uv5Qr1Mn)Ii%EeZAaVw6Rs2No-Jj&Ff#BbWx7St3Op+Kk*Gg!CcXy8Tu
7、4Pq0Ll(Hh$DdYz9Uv5Qr1Mm)Ii%EeZAaVw6Rs2Nn-Jj&Ff#BbWx7St3Oo+Kk*Gg!CcXy8Tu4Pp0Ll(Hh$DdYz9Uv5Qr1Mm)Ii%EeZAaVw6Rs2Nn-Jj&Ff#BbWx7St3Oo+Kk*Gg!CcXy8Tu4Pp0Ll(Hh$DdYz9Uv5Qq1Mm)Ii%EeZAaVw6Rr2Nn-Jj&Ff#BbWx7Ss3Oo+Kk*Gg!CcXy8Tt4Pp0Ll(Hh$DdYz9Uu5Qq1Mm)Ii%EeZAaVv6Rr2Nn-Jj&Ff#BbWw7Ss3Oo+Kk*Gg!CcXx8Tt4Pp0LcXx8Tt4Pp0K
8、l(Gh$CdYy9Uu5Qq1Mm)Hi%DeZzaVv6Rr2Nn-Ij&Ef#AbWw7Ss3Oo+Jk*Fg!BcXx8Tt4Pp0Kl(Gh$CdYy9Uu5Qq1Lm)Hi%DeZzaVv6Rr2Mn-Ij&Ef#AbWw7Ss3No+Jk*Fg!BcXx8Tt4Op0Kl(Gh$CdYy9Uu5Pq1Lm)Hi%DeZzaVv6Qr2Mn-Ij&Ef#AbWw7Rs3No+Jk*Fg!BcXx8St4Op0Kl(Gh$CdYy9Tu5Pq1Lm)Hi%DeZzaUv6Qr2Mn-Ij&Ef#AbVw7Rs3No+Jk*Fg!BcWx8St4Op0Kl(Gh$CdXy9Tu5Pq1
9、Lm)Hi%DeYzaUv6Qr2Mn-Ij&EfZAbVw7Rs3No+Jk*Fg#BcWx8St4Op0Kl(Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi$DeYzaUv6Qr2Mn)Ij%EfZAbVw7Rs3No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv6Qr
10、1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv5Qr1Mn)Ij%EfZAbVw6Rs2No-Jk&Fg#BcWx7St3Op+Kl*Gh!CdXy8Tu4Pq0Lm(Hi$DeYz9Uv5Qr1Mn)Ij%EfZAaVw6Rs2No-Jk&Fg#BbWx7St3Op+Kl*Gh!CcXy8Tu4Pq0Lm(Hi$DdYz9Uv5Qr1Mn)Ij%EeZAaVw6Rs2No-Jk&Ff#BbWx7St3Op+Kl*Gg!CcXy8Tu4Pq0Lm(Hh$DdYz9Uv5Qr1Mn)Ii%EeZAaVw6R
11、s2No-Jj&Ff#BbWx7St3Op+Kk*Gg!CcXy8Tu4Pq0Ll(Hh$DdYz9Uv5Qr1Mm)Ii%EeZAaVw6Rs2Nn-Jj&Ff#BbWx7St3Oo+Kk*Gg!CcXy8Tu4Pp0Ll(Hh$DdYz9Uv5Qq1Mm)Ii%EeZAaVw6Rr2Nn-Jj&Ff#BbWx7Ss3Oo+Kk*Gg!CcXy8Tt4Pp0Ll(Hh$DdYz9Uu5Qq1Mm)Ii%EeZAaVv6Rr2Nn-Jj&Ff#BbWw7Ss3Oo+Kk*Gg!CBcXx8Tt4Pp0Kl(Gh$CdYy9Uu5Qq1Lm)Hi%DeZzaVv6Rr2Mn-Ij&Ef#AbWw
12、7Ss3No+Jk*Fg!BcXx8Tt4Op0Kl(Gh$CdYy9Uu5Pq1Lm)Hi%DeZzaVv6Qr2Mn-Ij&Ef#AbWw7Rs3No+Jk*Fg!BcXx8St4Op0Kl(Gh$CdYy9Tu5Pq1Lm)Hi%DeZzaUv6Qr2Mn-Ij&Ef#AbVw7Rs3No+Jk*Fg!BcWx8St4Op0Kl(Gh$CdXy9Tu5Pq1Lm)Hi%DeYzaUv6Qr2Mn-Ij&EfZAbVw7Rs3No+Jk*Fg#BcWx8St4Op0Kl(Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcW
13、x8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi$DeYzaUv6Qr2Mn)Ij%EfZAbVw7Rs3No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv5Qr1Mn)Ij%EfZAbVw6Rs2No-Jk&Fg#BcWx7St3Op+Kl*Gh!Cd
14、Xy8Tu4Pq0Lm(Hi$DeYz9Uv5Qr1Mn)Ij%EfZAaVw6Rs2No-Jk&Fg#BbWx7St3Op+Kl*Gh!CcXy8Tu4Pq0Lm(Hi$DdYz9Uv5Qr1Mn)Ij%EeZAaVw6Rs2No-Jk&Ff#BbWx7St3Op+Kl*Gg!CcXy8Tu4Pq0Lm(Hh$DdYz9Uv5Qr1Mn)Ii%EeZAzaVv6Rr2Nn-Jj&Ff#AbWw7Ss3Oo+Kk*Gg!BcXx8Tt4Pp0Ll(Hh$CdYy9Uu5Qq1Mm)Ii%DeZzaVv6Rr2Nn-Jj&Ef#AbWw7Ss3Oo+Kk*Fg!BcXx8Tt4Pp0Ll(Gh$
15、CdYy9Uu5Qq1Mm)Hi%DeZzaVv6Rr2Nn-Ij&Ef#AbWw7Ss3Oo+Kk*Fg!BcXx8Tt4Pp0Ll(Gh$CdYy9Uu5Qq1Mm)Hi%DeZzaVv6Rr2Nn-Ij&Ef#AbWw7Ss3Oo+Jk*Fg!BcXx8Tt4Pp0Kl(Gh$CdYy9Uu5Qq1Lm)Hi%DeZzaVv6Rr2Mn-Ij&Ef#AbWw7Ss3No+Jk*Fg!BcXx8Tt4Op0Kl(Gh$CdYy9Uu5Pq1Lm)Hi%DeZzaVv6Qr2Mn-Ij&Ef#AbWw7Rs3No+Jk*Fg!BcXx8St4Op0Kl(Gh$CdYy9Tu5Pq1Lm)Hi
16、%DeZzaUv6Qr2Mn-Ij&Ef#AbVw7Rs3No+Jk*Fg!BcWx8St4Op0Kl(Gh$CdXy9Tu5Pq1Lm)Hi%DeYzaUv6Qr2Mn-Ij&EfZAbVw7Rs3No+Jk*Fg#BcWx8St4Op0Kl(Gh!CdXy9Tu5Pq1Lm)Hi$DeYzaUv6Qr2Mn-Ij%EfZAbVw7Rs3No+Jk&Fg#BcWx8St4Op0Kl*Gh!CdXy9Tu5Pq1Lm(Hi$DeYzaUv6Qr2Mn)Ij%EfZAbVw7Rs3No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)I
17、j%EfZAbVw7Rs2No-Jk&Fg#BcWx8St4Op+Kl*Gh!CdXy9Tu5Pq0Lm(Hi$DeYzaUv6Qr1Mn)Ij%EfZAbVw7Rs2No-Jk&Fg#BcWx8St3Op+Kl*Gh!CdXy9Tu4Pq0Lm(Hi$DeYzaUv5Qr1MnYz9Uv5Qr1Mn)Ii%EeZAaVw6Rs2No-Jj&Ff#BbWx7St3Op+Kk*Gg!CcXy8Tu4Pq0Ll(Hh$DdYz9Uv5Qr1Mm)Ii%EeZAaVw6Rs2No-Jj&Ff#BbWx7St3Op+Kk*Gg!CcXy8Tu4Pq0Ll(Hh$DdYz9Uv5Qr1Mm)Ii%EeZAaVw6Rs2Nn-Jj&Ff#Bb