剖宫产术后并发下肢血栓性静脉炎42例分析  

Clinical analysis of 42 cases with thrombophlebitis of lower extremities after ulerine-incision delivery

作　　者：郭丽娟[1] 

机构地区：[1]山东省枣庄市妇幼保健院,277100

出　　处：《中国医学创新》2010年第29期72-73,共2页Medical Innovation of China

摘　　要：目的探讨剖宫产术后并发下肢血栓性静脉炎的原因、诊断、治疗和预防措施。方法回顾性分析42例剖宫产术后并发下肢血栓性静脉炎产妇的临床特点和诊断、治疗方法。结果发生下肢血栓性静脉炎的高危因素是高龄、出血多、输血、合并高血压、糖尿病、术中合并其他手术、术后应用止血药等。治疗采用肝素、小剂量的尿激酶、低分子右旋糖酐和复方丹参等,取得满意效果。结论有下肢血栓性静脉炎高危因素的孕妇,术前术后应加强预防,早期治疗,预后良好。Objective To describe the clinical profile of thrombophlebitis of lower extremities after ulerine - incision - delivery and to study the eause,diagnosls,treatment and prevention. Methods The clinical characteristics,the methods of diagnosis and treatment of 42 cases with leg thrombophlebitis were retrospectively analyzed. Results Old age, blood hyperviscoslty, hypertension,diabetes mellitus,other operation and application of hemostatic drugs were high risk factors for thrumbo- phlebitis of lower extremities. Hcparin, uric kinase,low molecular dextran were effective in treating postoperative leg thrombo- phlebitis. Conclusion Preoperative and postoperative prophylactic treatment of thrombophlebitis of lower extremities should be considered in high risk pregnant woman. Early treatment can gain better curative effect.

关 键 词：剖宫产 血栓性静脉炎 

分 类 号：R719.8[医药卫生—妇产科学]