妊娠期肺栓塞的诊治和预防研究进展

Research progress in the diagnosis,treatment and prevention of pulmonary embolism during pregnancy

妊娠期肺栓塞的临床表现缺乏特异性,容易漏诊或误诊。许多无临床症状的肺栓塞未能引起医生和患者的重视,导致严重后果甚至死亡。其诊断需要结合患者的临床表现和辅助检查综合分析。妊娠期肺栓塞的诊断和治疗有别于非妊娠期,因此有必要开展相关研究以加强妊娠期肺栓塞的预防和管理,降低病死率,改善患者预后。本文就妊娠期肺栓塞的危险因素、诊断、治疗和预防等方面的研究进展作一综述,为临床医师的诊治提供参考。

The clinical presentation of pulmonary embolism during pregnancy lacks specificity and it is easily and missed or misdiagnosed.Many pulmonary embolisms without clinical symptoms have not been concerned,leading to serious consequences or even death.The diagnosis requires a comprehensive assessment of clinical manifestations and auxiliary testing.The diagnosis and treatment of pulmonary embolism during pregnancy differ from those in the non-gestational period.Therefore,it is necessary to carry out relevant research to strengthen the prevention and management of pulmonary embolism during pregnancy,reduce the fatality rate and improve the prognosis.This article summarized the research progress in risk factors,diagnosis,treatment and pregnancy of prevention embolism during pregnancy,and provided some references for its clinical management.