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妊娠期血栓形成倾向的处理方法——一种叙述性综述。

Approach to Thrombophilia in Pregnancy-A Narrative Review.

机构信息

Department of Internal Medicine, Discipline of Clinical Practical Skills, "Victor Babes" University of Medicine and Pharmacy, No. 2 Eftimie Murgu Square, 300041 Timisoara, Romania.

Advanced Cardiology and Hemostaseology Research Center, "Victor Babes" University of Medicine and Pharmacy, No. 2 Eftimie Murgu Square, 300041 Timisoara, Romania.

出版信息

Medicina (Kaunas). 2022 May 23;58(5):692. doi: 10.3390/medicina58050692.

DOI:10.3390/medicina58050692
PMID:35630108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9145888/
Abstract

Thrombophilia is a genetic predisposition to hypercoagulable states caused by acquired haemostasis conditions; pregnancy causes the haemostatic system to become hypercoagulable, which grows throughout the pregnancy and peaks around delivery. Genetic testing for thrombophilic gene mutations is evaluated using different methodologies of real-time polymerase chain reaction and DNA microarrays of specific genes. Adapting the general care of the pregnant woman to the particularities caused by thrombophilia is an important component, so screening is preferred to assess the degree of genetic damage that manifests itself as a risk of thrombosis. The major goal of this narrative review was to quantitatively evaluate the literature data on the specific care of pregnant women with thrombophilia that are at risk of developing unplanned miscarriages.

摘要

血栓形成倾向是由获得性止血条件引起的高凝状态的遗传易感性;妊娠使止血系统变得高凝,这种状态在整个妊娠期间逐渐增加,并在分娩时达到峰值。血栓形成倾向基因突变的基因检测使用实时聚合酶链反应和特定基因的 DNA 微阵列的不同方法进行评估。使孕妇的一般护理适应血栓形成倾向引起的特殊性是一个重要组成部分,因此筛查更受欢迎,以评估表现为血栓形成风险的遗传损伤程度。本叙述性综述的主要目的是定量评估关于有发生意外流产风险的血栓形成倾向孕妇的特定护理的文献数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9985/9145888/a84b7021df7c/medicina-58-00692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9985/9145888/a84b7021df7c/medicina-58-00692-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9985/9145888/a84b7021df7c/medicina-58-00692-g001.jpg

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Biomed Res Int. 2020 May 24;2020:3192350. doi: 10.1155/2020/3192350. eCollection 2020.
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Role of microRNAs in Venous Thromboembolism.miRNAs 在静脉血栓栓塞中的作用。
Int J Mol Sci. 2020 Apr 9;21(7):2602. doi: 10.3390/ijms21072602.
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Thrombophilia screening revisited: an issue of personalized medicine.血栓形成倾向筛查再探:一个个体化医学的问题。
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"Unraveling the Clot-Miscarriage Nexus: Mechanisms, Management, and Future Directions in Thrombosis-Related Recurrent Pregnancy Loss".解析血栓与流产的关联:血栓相关复发性流产的机制、管理及未来方向
Clin Appl Thromb Hemost. 2025 Jan-Dec;31:10760296251339421. doi: 10.1177/10760296251339421. Epub 2025 Apr 29.
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