Voigt T, Voigt H, Scheel H, Wegner H
Zentralbl Gynakol. 1987;109(3):169-72.
Therapy of phlebothrombosis during pregnancy general is carried out with heparin, in which case the initial hospital treatment may be continued later on with subcutaneous applications of heparin in the out-patient department. Regular clinical and apparative controls are performed during pregnancy within. Low dose heparin is injected up to the optimal dicumarol blood level (beginning with the 2nd day post partum) immediately pre-, intra- and postpartelly. - Coagulation analyses in 11 patients with former phlebothrombosis during pregnancy revealed no antithrombin III-deficiency, but hints to insufficient fibrinolysis in four cases.
孕期静脉血栓形成的治疗一般采用肝素,在这种情况下,最初的住院治疗之后可在门诊继续皮下注射肝素。孕期需定期进行临床和仪器检查。低剂量肝素在产前、产时及产后立即注射,直至达到最佳双香豆素血药浓度(从产后第2天开始)。对11例既往有孕期静脉血栓形成的患者进行凝血分析,结果显示无抗凝血酶III缺乏,但有4例提示纤维蛋白溶解不足。