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资源有限环境下妊娠期血栓栓塞性疾病的管理:印度视角。

Management of thromboembolic disorders during pregnancy in resource-constrained settings: An Indian perspective.

机构信息

Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Department of Obstetrics and Gynecology, Government Medical College & Hospital 32, Chandigarh, India.

出版信息

Indian J Med Res. 2023 Jun;157(6):533-542. doi: 10.4103/ijmr.ijmr_1858_21.

Abstract

Venous thromboembolism (VTE) in pregnancy and resulting thrombotic disorders are increasingly being recognized as an important cause of maternal morbidity and mortality. The diagnosis of VTE during pregnancy has an impact on current as well as future foeto-maternal outcomes. Whereas algorithms to manage VTEs during pregnancy in developed countries exist, these are difficult to implement in resource-constraint settings. In this narrative review, we discuss strategies that can be applied in daily clinical practice by obstetricians and haematologists dealing with these disorders in the country.

摘要

静脉血栓栓塞症(VTE)在妊娠期间以及由此导致的血栓性疾病日益被认为是孕产妇发病率和死亡率的重要原因。妊娠期间 VTE 的诊断会对当前以及未来的胎儿-母体结局产生影响。虽然在发达国家已经存在管理妊娠期间 VTE 的算法,但在资源有限的情况下难以实施。在这篇叙述性综述中,我们讨论了在该国处理这些疾病的妇产科医生和血液科医生在日常临床实践中可以应用的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d255/10466491/843b71debe3a/IJMR-157-533-g001.jpg

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