孕期及剖宫产术后发生肺栓塞原因分析及预防

Cause analysis and prevention of pulmonary embolism during pregnancy and post-cesarean

目的分析孕期及剖宫产术后发生肺栓塞的原因及相关高危因素,以制定切实可行的围术期管理措施。方法对孕期、大样本剖宫产术后病例分析及因肺栓塞死亡的3例孕产妇资料进行死因及相关因素分析。结果孕妇存在高危因素与孕期及剖宫产术后发生肺栓塞有关。结论应加强孕产期系统管理及高危妊娠管理工作,落实高危妊娠转会诊制度,保障危重症孕产妇救治绿色通道畅通,切实降低孕产期及围术期高危孕产妇死亡率。

Objective To analyze the causes and related risk factors of pulmonary embolism during pregnancy and after cesarean section, thus to develop practical and effective measures for perioperative management. Methods Cases analysis of pulmonary embolism during pregnancy and after cesarean were performed, and the data of three cases of maternal deaths due to pulmonary embolism were also analyzed for the causes of death and related factors. Results The existence of risk factors for pregnancy was related to the occurrence of pulmonary embolism during pregnancy and after cesarean section. Conclusion The strengthening of maternal systematic management and high-risk pregnancy management, the implementation of consultation system for high-risk pregnancies and the establishment of smooth green channel for pregnant women with critical illness are important to effectively reduce mortality rate of pregnant women with critical illness during pregnancy and post cesarean section.