2024 年第 11 期 第 19 卷

先天性心脏病相关肺动脉高压患者妊娠管理的研究进展

Research progress of pregnancy management in patients with pulmonary hypertension associated with congenital heart disease

作者：刘扬王强

英文作者：Liu Yang Wang Qiang

单位：首都医科大学附属北京安贞医院小儿心脏中心，北京100029

英文单位：Pediatric Heart Center Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：肺动脉高压；妊娠；先天性心脏病

英文关键词：Pulmonaryhypertension;Pregnancy;Congenitalheartdisease

• 摘要：

• 先天性心脏病相关肺动脉高压在妊娠人群中是一类涉及多学科的严重心肺疾病，患者妊娠期母婴风险明显增加，能否妊娠和分娩，如何管理，需要格外关注。在备孕阶段或首次发现妊娠时应严格评估妊娠风险，如果存在巨大妊娠风险，就应避孕或者早期终止妊娠。若评估后可继续妊娠，应在孕期加强产前检查，同时注意孕期风险评估和多学科合作治疗。尽早识别、及时评估、积极干预、加强妊娠期间管理，尽量减少不良母婴结局。

• Pulmonary hypertension associated with congenital heart disease in pregnant population is a serious heart and lung disease involving multiple disciplines. The risk of mother and child increases significantly during pregnancy, and how to manage pregnancy and delivery needs special attention. Pregnancy risk should be rigorously assessed in the preparation of pregnancy or when pregnancy is first detected. If there is a great risk of pregnancy, contraception or early termination of pregnancy should be performed.If the pregnancy can be continued after the evaluation, prenatal care should be strengthened during pregnancy, and risk assessment and multidisciplinary cooperative treatment should be paid attention to. Early identification, timely evaluation, active intervention and strengthening management during pregnancy can minimize adverse maternal and infant outcomes.