中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
886-888
,共3页
剖宫产%产褥期%下肢深静脉血栓%治疗
剖宮產%產褥期%下肢深靜脈血栓%治療
부궁산%산욕기%하지심정맥혈전%치료
cesarean section%puerperium%lower extremity deep venous thrombosis ( LE-DVT)%treatment
目的 通过分析剖宫产术后下肢深静脉血栓形成的发病情况,探讨其防治措施. 方法 对2010年1月至2013年12月宝鸡市妇幼保健院收治的14例剖宫产术后发生下肢深静脉血栓的病例资料进行回顾性分析. 结果 对14例患者均经彩超确诊为下肢深静脉血栓;其中初产妇9例,经产妇5例;发病时间在术后2~4天;有13例为单纯剖宫产术后发生下肢深静脉血栓,1例为剖宫产术中大出血行双侧髂内动脉栓塞术后发生下肢深静脉血栓. 对14例患者采用抗凝、溶栓治疗及护理干预,分别于发病后14~16天痊愈,无下肢静脉血栓脱落导致的肺栓塞、猝死等并发症发生. 结论 下肢深静脉血栓多于产褥早期发病,产后早下床活动可减少深静脉血栓形成,抗凝及溶栓是治疗下肢深静脉血栓形成的有效方法.
目的 通過分析剖宮產術後下肢深靜脈血栓形成的髮病情況,探討其防治措施. 方法 對2010年1月至2013年12月寶鷄市婦幼保健院收治的14例剖宮產術後髮生下肢深靜脈血栓的病例資料進行迴顧性分析. 結果 對14例患者均經綵超確診為下肢深靜脈血栓;其中初產婦9例,經產婦5例;髮病時間在術後2~4天;有13例為單純剖宮產術後髮生下肢深靜脈血栓,1例為剖宮產術中大齣血行雙側髂內動脈栓塞術後髮生下肢深靜脈血栓. 對14例患者採用抗凝、溶栓治療及護理榦預,分彆于髮病後14~16天痊愈,無下肢靜脈血栓脫落導緻的肺栓塞、猝死等併髮癥髮生. 結論 下肢深靜脈血栓多于產褥早期髮病,產後早下床活動可減少深靜脈血栓形成,抗凝及溶栓是治療下肢深靜脈血栓形成的有效方法.
목적 통과분석부궁산술후하지심정맥혈전형성적발병정황,탐토기방치조시. 방법 대2010년1월지2013년12월보계시부유보건원수치적14례부궁산술후발생하지심정맥혈전적병례자료진행회고성분석. 결과 대14례환자균경채초학진위하지심정맥혈전;기중초산부9례,경산부5례;발병시간재술후2~4천;유13례위단순부궁산술후발생하지심정맥혈전,1례위부궁산술중대출혈행쌍측가내동맥전새술후발생하지심정맥혈전. 대14례환자채용항응、용전치료급호리간예,분별우발병후14~16천전유,무하지정맥혈전탈락도치적폐전새、졸사등병발증발생. 결론 하지심정맥혈전다우산욕조기발병,산후조하상활동가감소심정맥혈전형성,항응급용전시치료하지심정맥혈전형성적유효방법.
Objective To analyze the incidence of lower extremity deep venous thrombosis ( LE-DVT ) after cesarean section and to investigate the prevention and treatment measures.Methods A retrospective analysis was conducted on clinical data of 14 cases of LE-DVT after cesarean section from January 2010 to December 2013 in Baoji Maternal and Child Health Hospital.Results Fourteen patients were diagnosed as LE-DVT by color Doppler ultrasonography, including 9 cases of primipara and 5 cases of multipara.The onset time was 2 to 4 days after operation.There were 13 cases of LE-DVT after simple cesarean section and 1 case after bilateral internal iliac artery embolization due to massive hemorrhage during cesarean section.All patients were treated with anti-coagulation, thrombolytic therapy and nursing intervention, and they recovered in 14-16 days after the onset of the disease.No pulmonary embolism or sudden death was caused by LE-DVT occurred.Conclusion The occurrence of most LE-DVT happens at early puerperium, and early ambulation can prevent deep vein thrombosis.Anti-coagulation and thrombolysis therapy are effective methods in treatment of LE-DVT.
