Macklon N S, Greer I A
University Department of Obstetrics and Gynaecology, Glasgow Royal Infirmary.
Scott Med J. 1996 Jun;41(3):83-6. doi: 10.1177/003693309604100305.
The incidence and pattern of thromboembolic complications in obstetric and gynaecological patients in Scotland between 1981 and 1992 was investigated by analysing ICD coded data retrieved from the SMR1 and SMR2 database. The effect of mode of delivery and maternal age over 35 on risk of thromboembolism in pregnancy was also assessed. 0.076% of gynaecological episodes were subsequently complicated by thromboembolic events. Nineteen percent of those suffering thromboembolic complications within two weeks of discharge were referred back to gynaecology. The incidence of deep venous thrombosis (DVT) in those under 35 years and over 35 years was 0.615/1000 maternities and 1.216/1000 maternities respectively. Respective figures for postnatal DVT were 0.304/1000 and 0.720/1000 and for pulmonary thromboembolism (PTE), 0.108/ 1000 and 0.405/1000. In both age groups, emergency caesarean section was associated with a higher incidence of DVT than elective caesarean section and vaginal delivery.
通过分析从SMR1和SMR2数据库中检索到的国际疾病分类（ICD）编码数据，对1981年至1992年间苏格兰妇产科患者血栓栓塞并发症的发生率和模式进行了调查。还评估了分娩方式和35岁以上产妇年龄对妊娠期间血栓栓塞风险的影响。0.076%的妇科病例随后出现血栓栓塞事件并发症。在出院两周内发生血栓栓塞并发症的患者中，19%被转回妇科。35岁以下和35岁以上人群中深静脉血栓形成（DVT）的发生率分别为0.615/1000例产妇和1.216/1000例产妇。产后DVT的相应数字分别为0.304/1000和0.720/1000，肺血栓栓塞（PTE）的相应数字分别为0.108/1000和0.405/1000。在两个年龄组中，急诊剖宫产与DVT的发生率高于择期剖宫产和阴道分娩。
