孕产妇深静脉血栓形成临床分析

目的:分析孕产妇深静脉血栓形成的临床特点和转归,探讨其高危因素,提高对该病的认识,减少发病率和并发症的发生率。方法:收集1996年1月～2006年1月收治的孕产妇深静脉血栓患者共28例,回顾性分析其临床资料。结果:26例经治疗治愈,1例足坏疽行截肢术,1例继发严重肺栓塞抢救成功,10例妊娠期就治的患者中孕期过程顺利,1例分娩足月低体重儿,无致畸、窒息儿,无再发产后病例。结论:孕产期是深静脉血栓形成的高发期,可致严重并发症,急性期使用溶栓、抗凝、降低血粘滞度等治疗多可治愈,对有高危因素的孕产妇如积极预防、早期诊治可减少并发症、远期后遗症的发生率。

Clinical analysis on maternal deep vein thrombosis

Objective:To analyze the clinical features and therapeutic efficacy of maternal deep vein thrombosis,and explore its high risk factors,improve the cognition and prevention,decrease its incidence and complications.Methods:From January 1996 to January 2006,28 maternal deep vein thrombosis cases were retrospectively analyzed.Results:26 cases were cured after effective treatment,1 case was amputated due to gangrene of foot,1 case complicating with severe pulmonary embolism was successfully salvaged of gestation.In the phase of gestation,all the 10 maternal deep vein thrombosis cases had favoring gestation without fetal malformation and asphyxia,1 case delivered a full term low weight baby.No recurrence and new limp was found.No case died of pulmonary embolism.Conclusion:The phase of gestation and delivery is the high incidence period of maternal deep vein thrombosis.In acute phase,patient can mostly heal by using thrombolytic,anti-coagulation and decreasing blood viscosity(glutinousness),etc.For the gravid and puerperal with high risk factors,active prevention,early diagnosis and treatment can reduce incidence of complications and sequel.