摘要
妊娠期和产褥期是静脉血栓栓塞症(VTE)明确的危险因素。妊娠相关VTE主要根据临床症状和体征、加压超声、肺通气/灌注扫描和CT肺动脉造影确诊。其防治首选低分子肝素,少数特殊患者使用普通肝素优于低分子肝素,溶栓治疗或放置下腔静脉滤器应严格把握指征。其中VTE的分娩期处理极具挑战性,需要产科、麻醉科、新生儿科以及血液科多科协作。近年来中国的VTE发生率有增高趋势,但缺乏实际的发病率数据以及有关VTE防治策略的研究,因此建立适合中国孕产妇的防治策略并采取多学科协作诊治的方式尤为重要。
Pregnancy and the puerperium are well- established risk factors for venous thromboembolie disease （VTE）.Imaging studies, such as compression ultrasonography, WQ scan and CTPA, play a major role in confirming suspected DVT or PE in pregnant women. LMWHs are recommended as first-line anticoagulants for thromboprophylaxis and treatment of VTE during pregnancy.If VTE occurs at term, delivery should be attended by an experienced multidisciplinary team.In recent years, the number of pregnant women with VTE increases in China, but there is a lack of actual mor- bidity and studies about VTE prevention and treatment. There is an urgent need for setting up prevention and multidisciplinary management strategies for Chinese pregnant women.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2017年第6期578-584,共7页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
静脉血栓栓塞症
血栓防治
低分子肝素
妊娠期
产褥期
venous thromboembolism
thrombopro-phylaxis
low molecular weight heparin
pregnancy
postpartum
