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[一名32岁植入永久性腔静脉滤器的孕妇反复发生血栓形成]

[Recurrent thromboses in a 32-year-old pregnant patient with permanent vena cava filter].

作者信息

Kröger K, Rudofsky G

机构信息

Klinik und Poliklinik für Angiologie, Klinikums Essen.

出版信息

Vasa. 1995;24(4):385-8.

PMID:8533452
Abstract

Vena cava-filters are implanted where there is a risk of pulmonary embolisation as cases of thrombosis. Permanent vena cava-filters can induce various complications during the remainder of the patient's life. A case of a 32-year-old woman who became pregnant seven years after the implantation of a Kimray-Greenfield-Filter and gave birth to a healthy child is presented. During pregnancy and after the birth of a healthy child she suffered from two new thrombotic events. After the delivery, a complete thrombosis of the vena cava inferior, both venae iliacae communes and the right vena renalis were shown by computer-tomography and phlebography. Inspite of these longterm complications, pregnancy is not contraindicated after implantation of a permanent vena cava-filter.

摘要

腔静脉滤器植入于存在肺栓塞风险如血栓形成的病例中。永久性腔静脉滤器在患者余生中可引发各种并发症。本文报告了一例32岁女性病例,该女性在植入Kimray - Greenfield滤器七年后怀孕并诞下一名健康婴儿。在孕期及诞下健康婴儿后,她又发生了两起新的血栓事件。分娩后,计算机断层扫描和静脉造影显示下腔静脉、双侧髂总静脉及右肾静脉完全血栓形成。尽管存在这些长期并发症,但永久性腔静脉滤器植入后妊娠并非禁忌。

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