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[妊娠合并肺栓塞的诊断与治疗困境]

[Diagnostic and therapeutic dilemmas in pregnant woman with pulmonary embolism].

作者信息

Kacprzak Michał, Berner-Trabska Marlena, Kowalska-Koprek Urszula, Zielińska Marzenna

机构信息

Klinika Intensywnej Terapii Kardiologicznej, Uniwersytet Medyczny w Łodzi, Polska.

出版信息

Ginekol Pol. 2013 Jun;84(6):471-5. doi: 10.17772/gp/1607.

DOI:10.17772/gp/1607
PMID:24032267
Abstract

Hypercoagulable state during pregnancy and puerperium is associated with an increased risk of venous thromboembolic disease. Pulmonary embolism (PE) is the leading cause of maternal death in the developed world. Clinical assessment of PE may be difficult due to nonspecific signs and symptoms, especially in pregnant women. Diagnostic procedures using ionizing radiation may be harmful for the fetus while aggressive anticoagulation may expose the mother to bleeding complications The aim of this paper was to present a case of a 27-year-old pregnant woman with high-risk PE.

摘要

孕期和产褥期的高凝状态与静脉血栓栓塞性疾病风险增加相关。肺栓塞(PE)是发达国家孕产妇死亡的主要原因。由于体征和症状不具特异性,PE的临床评估可能存在困难,尤其是在孕妇中。使用电离辐射的诊断程序可能对胎儿有害,而积极抗凝可能使母亲面临出血并发症。本文的目的是介绍一例27岁高危PE孕妇的病例。

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