产褥期静脉血栓病8例临床分析  

A clinical analysis of 8 cases of postpartum venous thromboembolic disease

作　　者：高坚蓉[1] 任京春[1] 陈瑞霞[1] 李秀萍[1] 

机构地区：[1]西安市第四医院妇产科,陕西710004

出　　处：《中国生育健康杂志》2003年第3期156-158,共3页Chinese Journal of Reproductive Health

摘　　要：目的　提高对产褥期静脉血栓病的认识。　方法　对 8例产褥期静脉血栓病诱发因素、诊断、临床表现、治疗方法及结果进行回顾性分析。　结果　产褥期静脉血栓病发生率为 0 .11%( 8/ 714 0 ) ,可能的危险因素为剖宫产、产时使用止血药、有妊娠并发症、肥胖、冬春季节分娩。 8例产褥期静脉血栓病患者均经超声多普勒检查诊断 ,经抗凝及抗感染治疗后临床症状均消失 ,治疗时间 3～ 2 4 d,平均 8.2 5 d,无 1例发生肺栓塞。　结论　合并静脉血栓病危险因素的产妇应及早给予相应检查及早期预防。静脉血栓病的辅助检查以超声为首选 。Objective To increase understanding of venous thromboembolic disease Methods Obstetric history in 8 cases with venous thromboembolic events treated in The Fourth XI'an Hospital from 1997 to 2001 retrospectively reviewed. Results The incidence of venous thromboembolic disease was 0 11 %(8/72 140).The risk factors included cesaran deliveries,hemostat,complications in pregnancy,oedema,obesity and pregnant season(winter and spring).Advanced maternal age represented a risk factor for venous thromboembolic events.Of 7 occurred in spring or winter season.Diagnosis was made by ultrasonography.All 8 cases underwent anticoagulant and antimicrobial therapy.The range of treatment period was 3～24 days(average,8 25 days).There were no cases of pulmonary embolism. Conclusion It was essential to aware various risk factors for venous thromboembolic disease.Ultrasonography was helpful to diagnose venous thromboembolic events.Initial anticoagulant treatment was effective.Prophylaxis methods and treatment should be given as early as possible.

关 键 词：产褥期 静脉血栓病 临床分析 诊断 治疗 并发症 

分 类 号：R714.6[医药卫生—妇产科学]