Kincheloe B W, Benitone J D, Marshall M R, Lawrence R F, Schreier P C
South Med J. 1976 Dec;69(12):1615-8. doi: 10.1097/00007611-197612000-00039.
A case of acute deep vein thrombophlebitis and pulmonary embolism in late gestation has been presented with a discussion of diagnostic modalities, therapeutic regimens, and theoretical considerations. It is our belief that aggressive medical management is best accomplished by giving heparin intravenously as the primary anticoagulant. When medical management is best accomplished by giving heparin intravenously as the primary anticoagulant. When medical management is not effective or if embolism occurs, surgical intervention, consisting of vena caval clipping and ovarian vein ligation with scrupulous attention to detail, is indicated. Further, support to prophylaxis of abruptio placenta secondary to the mechanism espoused by Mengert et al is added by the course of this patient.
本文介绍了一例妊娠晚期急性深静脉血栓性静脉炎和肺栓塞病例，并讨论了诊断方法、治疗方案及理论依据。我们认为，积极的内科治疗最好通过静脉注射肝素作为主要抗凝剂来实现。当内科治疗最好通过静脉注射肝素作为主要抗凝剂来完成时。当内科治疗无效或发生栓塞时，应进行手术干预，包括腔静脉夹闭和卵巢静脉结扎，并需严格注意细节。此外，该患者的病程为Mengert等人提出的机制继发的胎盘早剥预防提供了支持。
