妊娠及产褥期静脉血栓栓塞症的危险因素及预后

Risk Factors and Prognosis of Venous Thromboembolism in Pregnancy and Puerperium

目的探究妊娠期及产褥期静脉血栓栓塞症的危险因素与预后情况。方法采用回顾性分析方法,选择我院2019年1月—2020年1月收治的20例妊娠期及产褥期静脉血栓栓塞症患者为研究对象,分析妊娠期及产褥期发生静脉血栓栓塞症的危险因素,并相应的分析患者的预后情况。结果回顾性分析结果表明,在静脉血栓栓塞症所有危险因素中,年龄因素是最突出的危险因素,产科危险因素中剖宫产和产后出血是两项较突出的危险因素,而住院和制动因素则是持续存在危险因素中较为突出的两项。静脉血栓栓塞症可能引发中枢神经系统并发症、早中孕期胎死宫内、肺栓塞等不良母婴结局问题,并严重影响疾病的预后。结论对于妊娠期和产褥期患者,年龄因素、剖宫产、产后出血、制动因素和住院是静脉血栓栓塞症最主要的几类危险因素,静脉血栓栓塞症可能导致多种并发症,并严重影响患者预后。

Objective To explore the risk factors and prognosis of venous thromboembolism during pregnancy and puerperium.Methods A retrospective analysis method was used to select 20 patients with venous thromboembolism during pregnancy and puerperium who were admitted to our hospital from January 2019 to January 2020.The risk of venous thromboembolism during pregnancy and puerperium was analyzed.Factors and analyze the patient’s prognosis accordingly.Results The results of retrospective analysis showed that age factor is the most prominent risk factor among all risk factors for venous thromboembolism.Among obstetric risk factors,cesarean section and postpartum hemorrhage are two more prominent risk factors.Dynamic factors are two of the more prominent persistent risk factors.Venous thromboembolism may cause central nervous system complications,intrauterine fetal death in early and middle pregnancy,pulmonary embolism and other adverse maternal and infant outcomes,and seriously affect the prognosis of the disease.Conclusion For patients with pregnancy and puerperium,age factors,cesarean section,postpartum hemorrhage,braking factors,and hospitalization are the most important types of risk factors for venous thromboembolism.Venous thromboembolism may lead to multiple complications and serious Affect the patient's prognosis.