Swearingen J V
Am Fam Physician. 1983 Mar;27(3):209-12.
Venous thrombosis during pregnancy can present a difficult diagnostic and therapeutic dilemma. To prevent pulmonary embolism, an early, accurate diagnosis of deep venous thrombosis must be made and appropriate heparin therapy must be instituted. Contrast and radionuclide venography are valuable diagnostic techniques. Prophylactic, subcutaneously administered heparin is useful in preventing deep venous thrombosis in the high-risk pregnant patient. Warfarin is not recommended because of its effect on the fetus.
孕期静脉血栓形成可能带来诊断和治疗上的难题。为预防肺栓塞,必须尽早准确诊断深静脉血栓并开始适当的肝素治疗。造影和放射性核素静脉造影是有价值的诊断技术。预防性皮下注射肝素对预防高危孕妇的深静脉血栓形成有用。不推荐使用华法林,因为其对胎儿有影响。