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03 July 2018, Volume 34 Issue 7 Previous Issue    Next Issue

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A review of the incidence of venous thromboembolism among gynecological and obstetrical patients in China. CHE Yan 2018, 34(7): 709-713.  DOI: 10.19538/j.fk2018070102 Abstract ( )   In China，the incidences of venous thromboembolism（VTE）ranged from 0.02% to 2.26% among Gynecological patients and from 0.056% to 0.188% among women during the time period around delivery.Nevertheless，these incidences could be underestimated due to methodology limitaions in VTE studies.A large scale，multicentre，prospective cohort study is recommended to investigate VTE incidences so as to generate reliable evidence for women’s VTE treatment and prevention.

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Risk factors of venous thromboembolism in obstetric and gynecological department. DI Wen，WU Jia-yue 2018, 34(7): 714-717.  DOI: 10.19538/j.fk2018070103 Abstract ( )   Venous thromboembolism（VTE），comprising deep vein thrombosis（DVT）and pulmonary embolism（PE），is a severe complication in obstetrics and gynecology.VTE remains a leading cause of severe female morbidity and mortality.The key point of VTE is thrombosis risk assessment and thromboprophylaxis.This article summarizes the common risk factors of VTE in obstetrics and gynecology and the underlying mechanisms.

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Prevention of venous thromboembolism in gynecological surgery. QU Hong，ZHANG Zhen-yu 2018, 34(7): 717-720.  DOI: 10.19538/j.fk2018070104 Abstract ( )   Venous thromboembolism（VTE），including deep vein thrombosis and pulmonary embolism，is a common perioperative complication of gynecological surgery，which threatens the life and health of patients.We have recognized the importance and necessity of the prevention of VTE and paid more attention to it.Based on our experience of prevention and treatment of VTE，we have established “The Expert Consensus on the Prevention of Deep Vein Thrombosis and Pulmonary Embolism after Gynecological Surgery”.We detailedly explain the importance and measures of VTE prevention in gynecological surgery.

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Similarities and differences in the diagnosis and treatment between amniotic fluid embolism and thromboembolic pulmonary embolism in obstetric department. SU Min，YANG Juan-juan 2018, 34(7): 721-725.  DOI: 10.19538/j.fk2018070105 Abstract ( )   Amniotic fluid embolism and thromboembolic pulmonary embolism are both emergency cases with low obstetric incidence but high mortality.The possibility of amniotic fluid embolism or thromboembolic pulmonary embolism should be considered for cardiopulmonary failure in the delivery or after the birth.Therefore，the prompt differential diagnosis and the valid treatment are important.We summarize the similarities and differences of the diagnosis and treatment of amnotic fluid embolism and pulmonary embolism.

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Clinical application of imaging examination to the diagnosis of venous thromboembolism in pregnancy. GUO Rui-jun，GONG Li-huan 2018, 34(7): 725-729.  DOI: 10.19538/j.fk2018070106 Abstract ( )   The incidence of venous thromboembolism（VTE）is significantly higher in pregnancy than in normal people.It is a serious complication in pregnancy.Deep venous thrombosis of the lower extremities has an important correlation with pulmonary embolism.Early discovery and timely treatment can improve the prognosis of pregnant and lying-in women.Imaging examination plays an important role in the diagnosis of venous thromboembolism.

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Diagnosis and treatment of cerebral venous and sinus thrombosis in pregnant and lying-in women. KE Kai-fu 2018, 34(7): 729-733.  DOI: 10.19538/j.fk2018070107 Abstract ( )   Cerebral venous and sinus thrombosis （CVST） is a main part of acute neurological emergency events related to pregnancy and delivery.The incidence of CVST at this particular physiological period is several times than the normal population.If we can accurately grasp the early recognition of this particular patients with CVST，it will significantly reduce the mortality and disability rate after timely and accurate diagnosis and treatment.

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Standardized management of venous thromboembolism in hospital. XU Lang，ZHAO Jian-mei 2018, 34(7): 733-735.  DOI: 10.19538/j.fk2018070108 Abstract ( )   Venous thromboembolism（VTE） is one of the important causes of perioperative and hospital unintended death，this paper aims to introduce the practice process of standardization management of VTE by using SMART principles in Affiliated Hospital of Nantong University，and summarizes the hospital standardization management experience of VTE.

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Diagnosis and treatment of extra-uterus intravenous leiomyomatosis. FENG Wei-wei 2018, 34(7): 735-738.  DOI: 10.19538/j.fk2018070109 Abstract ( )   The development of intravenous leiomyomatosis（IVL）is closely related to estrogen. IVL often extends outside the uterus，reaching the inferior vena cava and even heart.Early diagnosis is very difficult due to its aspecific and subtle clinical symptoms.Its invasion to the inferior vena cava and the right heart chamber or the pulmonary artery may result in signs of right-sided congestive heart failure and sudden death.Differential diagnosis should be made to exclude venous thromboembolism（VTE）and atrial myxoma.Complete excision of pelvic and intravenous leiomyomatosis guarantees favorable outcomes and excellent prognosis with low rates of recurrence. If IVL confines to pelvic，total hysterectomy + bilateral salpingo-oophorectomy+ lesions resection is preferred.Multidisciplinary team is required for extensive resection of IVL extending to inferior venal and the right atrium.