HEALTH OF WOMAN. 2015.9(105):47–51; doi 10.15574/HW.2015.105.47 

Современный взгляд на синдром легочной гипертензии и беременность 

Веропотвелян П. Н., Соломкина А. Ю., Веропотвелян Н. П., Гужевская И. В., Цехмистренко И. С.

«Межобластной центр медицинской генетики и пренатальной диагностики», г. Кривой Рог

КУ «Криворожская городская клиническая больница № 2»ДОС»

Национальный медицинский университет им. А.А. Богомольца, г. Киев

Перинатальный центр, г. Киев 

Легочная гипертензия (ЛГ) – один из наиболее опасных пороков сердца у беременных.

ЛГ возникает в результате ограниченного кровотока через легочную артериальную циркуляцию, которая приводит к увеличению легочного сосудистого сопротивления и в конечном счете к правожелудочковой сердечной недостаточности.

Частота гибели пациенток с гипертензией малого круга кровообращения во время беременности и сразу после родов очень высока. В данной статье представлен международный опыт ведения пациенток с ЛГ во время беременности, родов и в послеродовой период.

На основании многочисленных публикаций пациенткам с ЛГ рекомендуется стерилизация или обеспечение надежной контрацепции, а в случае наступления беременности – ее прерывание. Пациентка должна наблюдаться в специализированном центре командой врачей-профессионалов в случае отказа от прерывания беременности. 

Ключевые слова: беременность, легочная гипертензия. 

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