Severi Filiberto M, Ignacchiti Erika, Setacci Francesco, Palasciano Giancarlo, Setacci Carlo, Petraglia Felice
Obstetrics and Gynecology, Department of Pediatrics, Obstetrics and Reproductive Medicine, and Vascular Surgery, University of Siena, Siena, Italy.
Obstet Gynecol. 2004 Nov;104(5 Pt 2):1140-2. doi: 10.1097/01.AOG.0000125552.00171.9a.
Carotid artery atherosclerosis and essential hypercholesterolemia can add a predisposing risk factor for coagulation in pregnancy. Careful management of anticoagulation during labor, delivery, and puerperium is called for in such a case.
A 41-year-old woman, gravida 2, para 1, with a previous endarterectomy at the right common carotid artery because of atherosclerotic plaques, underwent anticoagulation studies and prophylactic antithrombotic therapy. Low-molecular-weight heparin was administrated during pregnancy and puerperium. She successfully delivered by cesarean at 36 weeks of gestation.
Low-molecular-weight heparin treatment is an effective and safe therapy in pregnancy. The healthy course of therapy, delivery, and puerperium reported here is a reference that may support women with a similar history.
颈动脉粥样硬化和原发性高胆固醇血症可增加妊娠期凝血的易感风险因素。在这种情况下，需要在分娩期、产时和产褥期仔细管理抗凝治疗。
一名41岁女性，孕2产1，因动脉粥样硬化斑块曾行右侧颈总动脉内膜切除术，接受了抗凝研究和预防性抗血栓治疗。在妊娠期和产褥期给予低分子肝素。她在妊娠36周时通过剖宫产成功分娩。
低分子肝素治疗在妊娠期是一种有效且安全的治疗方法。本文报道的治疗、分娩和产褥期的顺利过程可为有类似病史的女性提供参考。
