妊娠合并肺栓塞2例
摘要
肺栓塞的漏诊误诊率高,而孕期肺栓塞更是如此。急性肺栓塞可导致猝死,但其临床表现复杂,无特异性,临床工作中容易忽视而导致孕产妇死亡,认识并早期正确诊治肺栓塞是提高存活率的关键。本文报道2例妊娠合并肺栓塞病例并文献分析,以期对临床有一定的参考意义。
出处
《湖北医药学院学报》
CAS
2015年第5期492-494,共3页
Journal of Hubei University of Medicine
参考文献8
-
1Torbicki A, Perrier A, Stavros K, et al. Guidelines on the diagnosis and management of acute pulmonary em- bolism [ J ]. G Ital Cardiol ( Rome ), 2009,10 ( 5 ) : 303 - 347.
-
2Egermayer P,Town GI. The clinical significance of pul- monary embolism: uncertainties and implications for treatment-a debate[ J]. 1997,241 ( 1 ) :5 - 10.
-
3赵洁,潘曙明,许小幸.急诊肺栓塞循证诊断和治疗[J].中国急救医学,2008,28(10):878-882. 被引量:36
-
4丰有吉,沈铿.妇产科学[J],2版.北京:人民卫生出版社,2007:25.
-
5Toglia MR, Nolan TE. Venous thromboembohsm during pregnancy:a current review of diagnosis and manage- ment [ J ]. Obstet Gynecol Sure, 1997,52 ( 1 ) : 60 - 72.
-
6Goldhaber SZ, Tapson VF, DVT FREE Steering Commit- tee. A prospective registry of 5,451 patients with ultra-sound-confirmed deep vein thrombosis [ J ]. Am J Cardi- o1,2004,15,93 (2) :259 - 262.
-
7程显声,何建国,高明哲,陈光瑾,李树花,张中和,赵鸣武,周素敏,赵济文,成立珠,张珍祥,陈玉林,熊长明.急性肺血栓栓塞症溶栓及抗凝治疗多中心临床分析[J].中华内科杂志,2002,41(1):6-10. 被引量:123
-
8Brancazio L1R, Roperti KA, Stierer R, et al. Pharmacoki- netics and pharmacodynamics of subcutaneous heparin during the early third trimester of pregnancy [ J ]. Am J Obstet Gynecol,1995,173(4):1 240- 1 245.
二级参考文献42
-
1Anderson FA Jr, Wheeler HB, Goldberg RJ, et al.A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study.Arch Intern Med,1991,151:933-938.
-
2Goldhaber SZ.Contemporary pulmonary embolism thrombolysis.Chest,1995,107(1 Suppl):45S-51S.
-
3Urokinase Pulmonary embolism trial: a national cooperative study. Circulation ,1973, 47:1-108.
-
4Goldhaber SZ, Kessler CM, Heit J, et al.Randomised controlled trial of recombinant tissue plasminogen activator versus urokinase in the treatment of acute pulmonary embolism.Lancet,1988,2:293-298.
-
5Goldhaber SZ. Evolving concepts in thrombolytic therapy for pulmonary embolism.Chest,1992,101(4 Suppl):183S-185S.
-
6Daniels LB, Parker JA, Patel SR, et al.Relation of duration of symptoms with response to thrombolytic therapy in pulmonary embolism.Am J Cardiol, 1997,80:184-188.
-
7Arcasoy SM, Kreit JW.Thrombolytic therapy of pulmonary embolism: a comprehensive review of current evidence.Chest,1999,115:1695-1707.
-
8Miniati M, Monti S, Bottai M. A structured clinical model for predicting the probability of pulmonary embolism[ J]. Am J Med,2003, 114(3) :173 - 179.
-
9Tamariz LJ, Eng J, Segal JB, et al. Usefulness of clinical prediction rules for the diagnosis of venous thromboembolism : a systematic review[J]. Am J Med,2004,117(9) :676 -684.
-
10Massimo Miniati, Matteo Bottai, Simonetta Monti. Comparison of 3 clinical models for predicting the probability of pulmonary embolism [ J ]. Medicine,2005,84 ( 2 ) : 107 -114.
共引文献156
-
1吴周飞.尿激酶溶栓联合抗凝治疗肺栓塞临床效果观察[J].临床研究,2014,22(5):88-88.
-
2余素琴,李小林.外科手术后并发静脉血栓形成17例临床分析[J].临床外科杂志,2002,10(z1):82-83.
-
3王金娥.肺栓塞18例临床分析[J].实用医技杂志,2008,15(25):3395-3396.
-
4时德.下肢深静脉血栓形成的危险因素和预防措施[J].中国血管外科杂志(电子版),2011,3(1):5-8. 被引量:17
-
5薛玉文,吴大玮,于钦凤,贾平东,杜以明.急性肺动脉栓塞症的溶栓治疗[J].山东大学学报(医学版),2004,42(4):416-418. 被引量:4
-
6龙振钊.脑卒中病人合并肺栓塞12例临床分析[J].中国神经精神疾病杂志,2004,30(5):398-398.
-
7刘艳霞.肺血栓栓塞的诊治现状[J].河北医学,2004,10(11):1052-1053.
-
8崔超巍.急性肺栓塞23例临床分析[J].临床医学,2004,24(12):19-20.
-
9闫俊瑾,时向民,王玉堂.腔静脉滤器的临床应用[J].医学临床研究,2004,21(9):1039-1041. 被引量:2
-
10薛玉文,王均玲,杜以明,吴大玮.肝素与低分子肝素对急性肺动脉栓塞症抗凝治疗的作用比较[J].新医学,2005,36(3):149-150. 被引量:7
-
1黄淑田,李宇新,张秀兰,仝珊.肺动脉栓塞58例误诊分析[J].临床医药实践,2007,16(6):445-445.
-
2魏祥娟.单纯支气管内膜结核3例分析[J].山东医药,2007,47(29):74-75.
-
3董戴源,徐峰,杨雷.嗜酸性粒细胞性胃肠炎2例分析并文献回顾[J].中国实用医刊,2017,44(2):126-126. 被引量:1
-
4章海涛,刘志红.急性肺栓塞[J].肾脏病与透析肾移植杂志,2009,18(3):253-259. 被引量:4
-
5胡大一,顼志敏.如何正确诊治高血脂[J].中国医刊,2000,35(4):25-27. 被引量:35
-
6石仁芳.肝源性溃疡76例临床分析[J].华夏医学,2009,22(3):429-431. 被引量:1
-
7张建东.肺栓塞的诊治进展[J].中国医学文摘(内科学),2005,26(4):487-489.
-
8李明阳,张晓艳.老年人甲状腺功能减退症37例临床分析[J].空军总医院学报,2006,22(1):51-51.
-
9张金树.老年人心力衰竭14例误诊分析[J].中国城乡企业卫生,2010,25(2):12-13.
-
10黄义超.咳嗽变异型哮喘21例诊治体会[J].现代中西医结合杂志,2001,10(24):2382-2382.