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血清学参数与血管检查对妊娠期深静脉血栓形成的更好评估——一项系统评价

Serological Parameters and Vascular Investigation for a Better Assessment in DVT during Pregnancy-A Systematic Review.

作者信息

Filip Catalina, Socolov Demetra Gabriela, Albu Elena, Filip Cristiana, Serban Roxana, Popa Radu Florin

机构信息

Saint Spiridon University Hospital, Vascular Surgery Clinic, Independence Boulevard no. 1, 700111 Iași, Romania.

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Grigore T. Popa", 700111 Iasi, Romania.

出版信息

Medicina (Kaunas). 2021 Feb 10;57(2):160. doi: 10.3390/medicina57020160.

Abstract

Pregnancy and the postpartum period represent a condition characterized by a thrombotic predisposition. The majority of pregnant women do not face acute or severe thrombotic events. In general, mild inconveniences such as leg swelling or moderately painful thrombotic events (phlebitis) are encountered. However, when pregnancy is associated with inherited or acquired deficits that affect homeostasis, the risk of acute or even life-threatening events can increase significantly. The major consequence is the loss of the fetus or the venous thromboembolism that endangers the mother's life. Venous thromboembolism is caused by deep vein thrombosis, therefore timely detection and especially the assessment of the extent of the thrombotic event are crucial. In this paper we have summarized the most important paraclinical investigations. The study emphasizes the importance of selecting the methods of investigation. The right choice allows establishing a correct diagnosis and individualizing the treatment.

摘要

怀孕和产后时期是一种具有血栓形成倾向的状态。大多数孕妇不会面临急性或严重的血栓形成事件。一般来说,会遇到诸如腿部肿胀或中度疼痛的血栓形成事件(静脉炎)等轻微不适。然而,当怀孕与影响内稳态的遗传性或获得性缺陷相关时,急性甚至危及生命的事件风险会显著增加。主要后果是胎儿丢失或危及母亲生命的静脉血栓栓塞。静脉血栓栓塞由深静脉血栓形成引起,因此及时检测,尤其是对血栓形成事件范围的评估至关重要。在本文中,我们总结了最重要的辅助临床检查。该研究强调了选择检查方法的重要性。正确的选择有助于做出正确诊断并实现治疗个体化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dd7/7916726/2bfd58be6015/medicina-57-00160-g001.jpg

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