剖宫产术后深静脉血栓的临床研究

A Clinical Study of Deep Venous Thromboembolism after Caesarean Section

目的:探讨剖宫产术后深静脉血栓(DVT)的预防及治疗。方法:回顾分析剖宫产术后22例并发下肢DVT患者的临床特点及诊治经过。结果:高龄、肥胖、妊娠合并症、并发症、输血等是剖宫产术后DVT形成的高危因素;临床表现结合彩色多普勒超声(CDFI)可确诊;治疗方法包括早期溶栓及抗凝等。结论:剖宫产术前及术后对孕妇进行评估,对存在DVT高危因素的患者采取积极预防措施可减少发生;低分子肝素能有效预防和治疗DVT。

Objective： To investigate the reason for formation of deep venous thrombosis（ DVT） after cesarean section and to explore the method for prophylaxis of DVT. Methods： The clinical characteristics and the process of diagnosis and treatment of 22 cases of DVT after cesarean section were analyzed retrospectively. Results： Greater age,obesity,pregnancy complications and blood transfusion were high risk factors for DVT after cesarean section. DVT could be diagnosed by Clinical manifestations in combination with color Doppler ultrasonography（ CDFI）. Treatment includes thrombolysis in early phase and anticoagulation. Conclusion： Pregnant women should be evaluated preoperatively or postoperatively. Prophylatic treatment of DVT should be con- sidered in high risk population to decrease the incidence of DVT; Low- molecular- weight heparin（ LMWH） is effective for the prevention and treatment of DVT in practice.