剖宫产术后下肢深静脉血栓形成的临床研究

Clinical research of thrombogenesis of deep veins of lower limb after caesarean section

目的探讨剖宫产术后下肢深静脉血栓形成(LDVT)的易发因素及治疗预防原则。方法回顾12例经临床确诊为LDVT患者的资料,分析LDVT的病因及高危因素,结合文献,总结该病的预防、治疗原则。结果孕妇于妊娠期特殊的病理、生理变化为LDVT发生的基础病因,手术、高龄、肥胖、少运动及妊高症、贫血等合并症均为诱发LDVTT的高危因素。规范的基础治疗及对证处理,辅助中药制剂,可取得良好效果。结论剖宫产术后LDVT的发生是多种因素的共同结果,正确预防及早发现、早治疗可取得良好效果。

Objective： To study the easy generate factor of LDVT after caesarean section,and the principles of therapy and prevention.Methods： The data of 12 cases with clinical definite LDVT were reviewed,the etiological factor and high risk facto were analysed,according to the binding documents to summarize the principle of therapy and precaution.Results： The special pathology and physiology of expectant mother were the basic etiopathogenisis,and operation,senoir age,fatness,lack of exersise,pregnant high blood pressure and hypemia were the high risks of inducing the LDVT.Normal basic cure and proper handling assisted Chinese drugs pharmaceutics could achieve fine effects.Conclusion： The genesis of LDVT after caesarean section is the result of many factors.Correct prevention,early discovery and early cure can achieve fine effect.