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Vol. 13. Issue 2.
Pages 213-237 (March - April 2007)
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Vol. 13. Issue 2.
Pages 213-237 (March - April 2007)
Prémio Formação em Pneumologia 200611

Interna do 5.º ano de Pneumologia

/ Pulmonology Training Award 2006
Open Access
Pulmão e gravidez
Pregnancy and lungs
Visits
5995
Inês A.C. Gonçalves Marcos2
1 Patrocínio: GlaxoSmithKline
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Article information
Resumo

A patologia respiratória é relativamente frequente durante a gravidez. Um terço das grávidas sofrem exacerbação da asma. O tromboembolismo pulmonar é cerca de 5 vezes mais frequente na gravidez. As pneumonias bacte-rianas, virais e fúngicas são mal toleradas pela grávida, provocando significativa morbilidade materno-fetal, insuficiência respiratória, baixo peso ao nascer ou prema-turidade. A tuberculose, se não for tratada, pode aumentar em 4 vezes a mortalidade materna e em 9 vezes o parto pré-termo. A gravidez está contra-indicada em mulheres com fibrose quística e função pulmonar grave. Apesar dos progressos terapêuticos, a hipertensão pulmonar continua a estar associada a valores superiores a 30% de morbilidade e mortalidade materno-fetal. Apro-ximadamente 1 em 1000-1500 gravidezes é complicada por neoplasia maligna materna. O cancro do pulmão nas grávidas coloca desafios terapêuticos importantes devido às elevadas taxas de mortalidade.

Rev Port Pneumol 2007; XIII (2): 213-238

Palavras-chave:
Pulmão
gravidez
alterações fisioló-gicas
complicações pulmonares
Abstract

Respiratory pathology can be relatively frequent during pregnancy. One third of pregnant woman may experience worsening of their asthma condition. Pulmonary tromboembolism is 5 times more frequent in pregnancy. Bacterial, viral and fungal pneumonias are baddly tolerated during pregnancy, provoking mother-foetal morbidity, respiratory insufficiency, low born-weight or prematurity. Non-treated tuberculosis may increase maternal mortality and preterm birth by 4 and 9 times respectively. Pregnancy is counter-indicated in women with cystic fibrosis and severe pulmonary function. Despite therapeutic progresses already made, pulmonary hypertension is associated to over 30% of mother-foetal morbidity and mortality. Approximately 1 in 1,000-1,500 pregnancies is affected by mother cancer. High rates of lung cancer morbility in women bring new and important challenges to therapy.

Rev Port Pneumol 2007; XIII (2): 213-238

Key-words:
Pregnancy
lung
physiological changes
pulmonary complications
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Interna do 5.º ano de Pneumologia

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