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妊娠和产褥期罕见深部静脉血栓形成 3 例报告;上肢静脉血栓形成、卵巢静脉血栓形成、门静脉和肠系膜上静脉血栓形成。

Rare deep vein thrombosis in pregnancy and puerperium 3 case series; upper extremities vein thrombosis, ovarian vein thrombosis, portal and superior mesenteric vein thrombosis.

机构信息

Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam City, Republic of Korea.

出版信息

J Obstet Gynaecol Res. 2024 Apr;50(4):746-750. doi: 10.1111/jog.15890. Epub 2024 Jan 13.

Abstract

Pregnancy induces a hypercoagulable state, elevating thrombosis risk by 5-6 times compared to non-pregnant conditions. Predominantly affecting the left lower extremity due to anatomical and hematological factors, deep vein thrombosis can escalate into pulmonary embolism, impacting mortality. The authors aim to report rare incidents of thrombosis beyond the norm, including upper extremity vein thrombosis, right ovarian vein thrombosis, and portal vein and superior mesenteric vein thrombosis, highlighting their significance. Obstetricians should be mindful that thrombosis can occur not only in the lower extremities but also in other areas. Especially when symptoms such as fever unresponsive to antibiotics, atypical pain, and an abnormally high C-reactive protein level are present. Considering the possibility of a rare thrombosis is crucial. Understanding these less common thrombotic events during pregnancy and the postpartum period can contribute to the improvement of timely diagnosis and management strategies.

摘要

妊娠会导致血液高凝状态,使血栓形成的风险比非妊娠状态增加 5-6 倍。由于解剖和血液因素的影响,深静脉血栓主要影响左下肢,如果不及时治疗,深静脉血栓可能会进一步发展为肺栓塞,从而影响患者的死亡率。作者旨在报告一些罕见的血栓形成事件,包括上肢静脉血栓、右侧卵巢静脉血栓、门静脉和肠系膜上静脉血栓,强调这些事件的重要性。妇产科医生应该意识到,血栓不仅可能发生在下肢,还可能发生在其他部位。尤其是当出现发热、抗生素治疗无效、非典型疼痛和 C 反应蛋白水平异常升高等症状时,更应该考虑到这种可能性。考虑到罕见血栓形成的可能性至关重要。了解妊娠和产后期间这些较少见的血栓形成事件,可以有助于提高及时诊断和管理策略的水平。

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