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[妊娠中的血栓形成倾向及其对静脉血栓栓塞和复发性流产的影响]

[Thrombophilia in pregnancy and its influence on venous thromboembolism and recurrent miscarriages].

作者信息

Kempf Haber Małgorzata, Klimek Marek

机构信息

Klinika Ginekologii i Nieptodności Collegium Medicum, Uniwersytetu Jagiellorskiego, Krakowie.

出版信息

Przegl Lek. 2005;62(3):164-8.

Abstract

Thrombophilia can be defined as a predisposition to thrombosis. Inherited or acquired thrombophilias have been associated with venous thromboembolism and recurrent pregnancy loss. Abnormalities in haemostasis that are associated with clinical thrombophilia include heritable defects, such as mutation in genes encoding antithrombin III, protein C and S, prothrombin, factor V, hyperhomocysteinemia or acquired defects such as antiphospholipids. Women with thrombophilic tendency have an increased risk of other vascular pregnancy complications such as premature placental abruption and intrauterine growth retardation. In this paper there are different types of thrombophilias described. It is suggested that women with personal or family history of venous thromboembolism or recurrent fetal loss should be screened to improve pregnancy outcome.

摘要

易栓症可定义为易于形成血栓的倾向。遗传性或获得性易栓症与静脉血栓栓塞及复发性流产有关。与临床易栓症相关的止血异常包括遗传性缺陷,如编码抗凝血酶III、蛋白C和S、凝血酶原、因子V的基因突变、高同型半胱氨酸血症,或获得性缺陷,如抗磷脂。有易栓倾向的女性发生其他血管性妊娠并发症的风险增加,如胎盘早剥和胎儿宫内生长受限。本文描述了不同类型的易栓症。建议对有静脉血栓栓塞个人史或家族史或复发性胎儿丢失的女性进行筛查,以改善妊娠结局。

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