Edebiri Osasere, Ní Áinle Fionnuala
Dept of Haematology, Mater University Hospital, Dublin, Ireland.
Dept of Haematology, Rotunda Hospital, Dublin, Ireland.
Breathe (Sheff). 2022 Jun;18(2):220018. doi: 10.1183/20734735.0018-2022. Epub 2022 Jul 12.
Venous thromboembolism (VTE) in pregnancy is a leading cause of maternal morbidity and mortality. However, despite the significant associated clinical burden and potentially devastating societal impact, there is still a paucity of data surrounding its prevention and management. Consequently, international guideline recommendations vary widely. Exclusion of pregnant women from clinical trials in the past has contributed to knowledge gaps. However, recently published and ongoing studies demonstrate that excellent clinical trials in pregnancy are achievable. This review will discuss prevention, diagnosis and treatment of VTE in pregnancy, and will also explore priorities for future research.
To gain an understanding of current knowledge on risk factors for pregnancy-associated venous thromboembolism (PA-VTE).To gain an understanding of the diagnosis of PA-VTE.To review up-to-date approaches to preventing and treating PA-VTE.To discuss possible limitations in current research and areas which require improvement.
妊娠期静脉血栓栓塞症(VTE)是孕产妇发病和死亡的主要原因。然而,尽管其存在显著的临床负担及潜在的巨大社会影响,但围绕其预防和管理的数据仍然匮乏。因此,国际指南建议差异很大。过去将孕妇排除在临床试验之外导致了知识空白。然而,最近发表的及正在进行的研究表明,开展出色的妊娠期临床试验是可行的。本综述将讨论妊娠期VTE的预防、诊断和治疗,还将探讨未来研究的重点。
了解妊娠相关静脉血栓栓塞症(PA-VTE)危险因素的现有知识。了解PA-VTE的诊断。回顾预防和治疗PA-VTE的最新方法。讨论当前研究中可能存在的局限性以及需要改进的领域。