中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    

妊娠相关静脉血栓栓塞症防治策略及中国实践

  

  1. 复旦大学附属妇产科医院，上海 200011
  • 出版日期:2017-06-02 发布日期:2017-05-25
  • 通讯作者: 顾蔚蓉

Venous thromboembolic disease in pregnancy：treatment，prevention and practice in China.

  1. Department of Obstetrics，Obstetrics and Gynecology Hospital，Fudan University，Shanghai 200011，China
  • Online:2017-06-02 Published:2017-05-25

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。

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

Abstract:

Pregnancy and the puerperium are well-established risk factors for venous thromboembolic disease（VTE）.Imaging studies，such as compression ultrasonography，V/Q 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 morbidity and studies about VTE prevention and treatment. There is an urgent need for setting up prevention and multidisciplinary management strategies for Chinese pregnant women.

Key words: venous thromboembolism, thromboprophylaxis, low molecular weight heparin, pregnancy, postpartum

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