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Clinical analysis: 13 cases of pregnancy complicated with Takayasu arteritis

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机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Dept Obstet & Gynecol, 2 Anzhen Rd, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China
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关键词: pregnancy Takayasu arteritis treatment prognosis

摘要:
Objectives: To investigate the clinical features, disposition, and effect of pregnancy complicated with Takayasu arteritis (P-TA) on maternal and fetal outcomes. Material and methods: The clinical data (diagnosis and treatment, peri-pregnancy monitoring, and pregnancy outcomes) of patients with P-TA treated in our hospital between September 2007 and April 2016 were analyzed retrospectively. Results: Among the 13 P-TA cases, seven were diagnosed before pregnancy, and six were diagnosed during pregnancy; six cases were diagnosed as the generalized type, and seven cases were diagnosed as the cephalic-brachial type; six cases were in the stable stage, and seven cases were in the active stage. All the cases in the active stage underwent glucocorticoid therapy. Four cases developed complications, including cardiac dysfunction combined with preeclampsia in two cases, preeclampsia in one case, and stroke in one case. Eleven patients successfully delivered (nine cases of full-term delivery and two cases of premature delivery); one patient had late miscarriage; one patient had missed abortion. All the parturients survived and delivered 11 neonates (nine full-term neonates and two premature neonates) and one low-birth-weight neonate; no neonatal asphyxia or death occurred. Conclusions: Patients with P-TA can have better maternal and child outcomes through timely diagnosis and treatment, dynamic monitoring, or timely pregnancy termination.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 妇产科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 妇产科学
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出版当年[2015]版:
Q4 OBSTETRICS & GYNECOLOGY
最新[2023]版:
Q3 OBSTETRICS & GYNECOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Dept Obstet & Gynecol, 2 Anzhen Rd, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Dept Obstet & Gynecol, 2 Anzhen Rd, Beijing 100029, Peoples R China; [2]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China
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