Hoffman Ron, Brenner Benjamin
Head of Inpatient Hematology Unit, Department of Hematology and Bone Marrow Transplantation, Rambam Medical Center, Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Semin Thromb Hemost. 2005 Feb;31(1):97-103. doi: 10.1055/s-2005-863811.
Women experience increased thrombotic risk at pregnancy and puerperium as well as during hormonal therapy with oral contraceptives or hormone replacement therapy. Physiological and anatomical changes in pregnancy contribute to the hypercoagulable situation. Women with thrombophilia have an increased risk for venous and arterial thromboembolism as well as for gestational vascular complications including fetal loss, pre-eclampsia, placental abruption, and fetal growth restriction. Children are at increased thrombotic risk, particularly at the neonatal period, and may express thrombosis often in association with thrombophilia. This article will focuses on the clinical association, pathogenesis, and treatment of thrombophilia-related issues in women and children.
女性在妊娠、产褥期以及使用口服避孕药或激素替代疗法进行激素治疗期间,血栓形成风险会增加。妊娠期间的生理和解剖学变化会导致高凝状态。患有易栓症的女性发生静脉和动脉血栓栓塞以及妊娠血管并发症(包括胎儿丢失、先兆子痫、胎盘早剥和胎儿生长受限)的风险增加。儿童的血栓形成风险也会增加,尤其是在新生儿期,并且血栓形成常与易栓症相关。本文将重点关注女性和儿童易栓症相关问题的临床关联、发病机制及治疗。