妊娠合并矫正型大动脉转位心脏病分娩1例 报道并文献复习
A Case Report of Delivery in Pregnancy with Congenitally Corrected Transposition of the Great Arteries and Literature Review
DOI: 10.12677/acm.2026.1631017, PDF,   
作者: 朱语然, 邱 迪, 刘 嘉*：暨南大学附属第一医院妇产科，广东 广州
关键词: 妊娠；先天性心脏病；心律失常；剖宫产；病例报道；Pregnancy； Congenital Heart Disease； Arrhythmia； Caesarean Section； Case Report
摘要: 目的：探讨先天性矫正型大动脉转位合并妊娠的孕期规范管理。方法：分析2025年7月收治1例妊娠合并先天性矫正型大动脉转位患者的临床资料并结合文献复习进行讨论。结果：患者临产后出现胸闷气促，心脏彩超提示先天性矫正型大动脉转位，分娩后出现严重室性心律失常。结论：纽约心脏协会(New York Heart Association, NYHA)心功能分级I~II级的大多数先天性心脏病患者可耐受妊娠，但孕期需动态评估及风险分层管理，产后仍可能发生异常，需加强监测并做好预防措施。
Abstract: Objective: To explore the standardized management during pregnancy for patients complicating with congenitally corrected transposition of the great arteries (ccTGA). Methods: The clinical data of a patient who was pregnant and complicated with ccTGA, admitted in July 2025, were analyzed and discussed in conjunction with a literature review. Results: The patient developed chest tightness and shortness of breath after the onset of labor while cardiac ultrasound confirmed ccTGA, and severe ventricular arrhythmia occurred postpartum. Conclusion: Patients with congenital heart disease classified as New York Heart Association (NYHA) functional class I~II may support pregnancy. However, dynamic assessment and risk-stratified management during pregnancy are essential. Severe arrhythmias may still occur postpartum, necessitating intensified monitoring and preventive measures.
文章引用：朱语然, 邱迪, 刘嘉. 妊娠合并矫正型大动脉转位心脏病分娩1例 报道并文献复习[J]. 临床医学进展, 2026, 16(3): 2236-2240. https://doi.org/10.12677/acm.2026.1631017

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