Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, New York, NY 10032, United States.
Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, New York, NY 10032, United States.
Semin Perinatol. 2019 Jun;43(4):205-212. doi: 10.1053/j.semperi.2019.03.005. Epub 2019 Mar 9.
The American Heart Association (AHA) categorizes pulmonary embolism (PE) into three main categories based on the presence or absence of hemodynamic changes and evidence of right ventricular dysfunction. The AHA characterizes massive PE as occurring in the setting of persistent hypotension, profound bradycardia, or pulselessness; submassive PE as occurring with evidence of right ventricular dysfunction or myocardial necrosis in the absence of hemodynamic changes; and low-risk PE as occurring in the absence of markers of massive and submassive PE. This chapter provides an overview of how to identify and manage patients with submassive and massive pulmonary embolism. Delivery planning considerations are discussed. We also address the management of critically ill obstetric patients with respect to VTE risk. The American Heart Association (AHA) categorizes pulmonary embolism (PE) into three main categories based on the presence or absence of hemodynamic changes and evidence of right ventricular dysfunction. The AHA characterizes massive PE as occurring in the setting of persistent hypotension, profound bradycardia, or pulselessness; submassive PE as occurring with evidence of right ventricular dysfunction or myocardial necrosis in the absence of hemodynamic changes; and low-risk PE as occurring in the absence of markers of massive and submassive PE. This chapter provides an overview of how to identify and manage patients with submassive and massive pulmonary embolism. Delivery planning considerations are discussed. We also address the management of critically ill obstetric patients with respect to VTE risk.
美国心脏协会（AHA）根据是否存在血流动力学变化和右心室功能障碍的证据，将肺栓塞（PE）分为三大类。AHA 将大量 PE 定义为持续低血压、严重心动过缓或无脉时发生；亚大量 PE 定义为存在右心室功能障碍或心肌坏死而无血流动力学变化时发生；低危 PE 定义为不存在大量和亚大量 PE 的标志物时发生。本章概述了如何识别和处理亚大量和大量肺栓塞患者。讨论了分娩计划的注意事项。我们还讨论了重症产科患者的 VTE 风险管理。
