目的: 分析妊娠合并肺动脉高压( pulmonary hypertension，PH) 病人的临床特点，探讨其妊娠分娩方
式与时机。方法: 回顾分析2010 ～ 2014 年在我院产科诊治32 例妊娠合并肺动脉高压。结果: 32 例病人根据肺
动脉收缩压情况分为轻度组( 30 ～ 40 mmHg) 18 例，中度组( 41 ～ 69 mmHg) 9 例，重度组( ≥70 mmHg) 5 例。围生
儿死亡3 例，孕产妇死亡3 例，孕早期胚胎停育2 例，孕中期死胎2 例，其余均在分娩后，心功能经改善后出院。
结论: 肺动脉压力越高，孕产妇心功能情况及母婴结局越差。应根据病人情况综合判断终止妊娠的时机，剖宫产
手术终止妊娠是较安全方式。

Objective: To analyze the clinical characteristics of pregnant patients with pulmonary
hypertension，and explore manner and timing of their delivery． Methods: To retrospective analyze 32
cases of pulmonary hypertension of pregnancy 2010 to 2014 in the department of obstetrics of our hospital．
Result: According to pulmonary artery systolic pressure 32 patients were divided into mild group
( 30 ～ 40 mmHg) 18 cases，moderate group( 41 ～ 69 mmHg) 9 cases， severe group( ≥70 mmHg) 5 cases．
Perinatal child mortality 3 cases，maternal mortality 3 cases，early pregnancy embryo stop education
2 cases， second trimester stillbirth 2 cases， the rest discharge after childbirth and heart function improved．
Conclusion: The higher pulmonary artery pressure， the worse maternal heart function and maternal
outcomes． according to the patient the timing of termination of pregnancy should be integrated to
determine，caesarean section to terminate the pregnancy is a safer way．

R714． 252