中国实用妇科与产科杂志2025,Vol.41Issue(6):600-605,6.DOI:10.19538/j.fk2025060106
妊娠合并肺动脉高压风险评估与管理策略
Risk assessment and management strategies for pregnancy with pulmonary hypertension
摘要
Abstract
Pulmonary arterial hypertension(PAH)poses significant maternal and fetal risks during pregnancy,including heart failure,PAH crisis,maternal death,fetal growth restriction,fetal distress,and preterm birth.In recent years,individualized management has gradually replaced the traditional strategy of absolute contraindication to pregnancy.This review summarizes risk assessment methods and management strategies for PAH in pregnancy,including preconception counseling,pregnancy monitoring,pharmacological and delivery management,and postpartum follow-up.Future efforts should focus on optimizing risk assessment systems of PAH and advance intelligent management in order to improve maternal and neonatal survival.关键词
妊娠/肺动脉高压/风险评估/母儿结局/高危妊娠/临床管理Key words
pregnancy/pulmonary arterial hypertension/risk assessment/maternal and infant outcomes/high-risk pregnancy/clinical management分类
医药卫生引用本文复制引用
马瑞琳,赵茵..妊娠合并肺动脉高压风险评估与管理策略[J].中国实用妇科与产科杂志,2025,41(6):600-605,6.基金项目
深圳市基础研究专项(自然科学基金)(JCYJ20230807143504009) (自然科学基金)
深圳市科技计划项目(JCYJ20200109140614667) Shenzhen Natural Science Foundation(JCYJ20230807143504009 (JCYJ20200109140614667)
Shenzhen Science and Tech-nology Plan Project(JCYJ20200109140614667) (JCYJ20200109140614667)