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[腔静脉滤器在妊娠晚期急性静脉血栓治疗中的应用]

[Use of cava-filter in the treatment of acute venous thrombosis in the end of pregnancy].

作者信息

Fokin A A, Vazhenin A V, Orekhova L A, Verbovetskiĭ L P, Fokin A A, Slonimskiĭ L A

出版信息

Akush Ginekol (Mosk). 1995(1):29-31.

PMID:7762746
Abstract

Cava-filters were implanted in 16 women suffering from acute thrombosis of the deep veins of the lower limbs in the third gestation trimester. Initial or relapsing thromboembolism of the pulmonary artery (TEPA) had place in 5 cases. Two types of filters were used, the REPTEPA ones being used more frequently. As a rule, a filter was implanted in the infrarenal segment of vena cava inferior. Complications occurred in two patients: perforation of right atrial wall and thrombosis of the filter. Pregnancy ended in delivery in all the cases, cesarean section was made in the majority of patients. No TEPA was recorded from the moment of cava-filter implantation. In remote period 15 women developed moderately expressed postthrombotic syndrome.

摘要

对16例妊娠晚期下肢深静脉急性血栓形成的女性患者植入了下腔静脉滤器。5例发生了初次或复发性肺动脉血栓栓塞(TEPA)。使用了两种类型的滤器,其中REPTEPA型使用得更为频繁。通常,在下腔静脉肾下段植入滤器。两名患者出现了并发症:右心房壁穿孔和滤器血栓形成。所有病例均以分娩结束妊娠,大多数患者进行了剖宫产。自植入下腔静脉滤器后未记录到TEPA。在远期,15名女性出现了中度的血栓形成后综合征。

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