摘要
目的:提高对口服避孕药所致肺栓塞的认识,减少误诊误治。方法:给予低分子肝素抗凝治疗,并行下腔静脉滤网放置术,术后继续给予肝素及华法林抗凝,至国际标准化比率达2.5时,停用肝素,单独口服华法林维持治疗。结果:患者病情好转,右下肢水肿消失。复查下肢静脉彩超示局部再通。结论:口服避孕药是肺栓塞发生的高危因素,因此类病例国内较少见,故临床医师认识不足,应提高警惕。
Objective:To improve the understanding of pulmonary embolism induced by oral contraceptives in order to reduce the misdiagnosis and mistreatment.Methods:The patient was given anticoagulant therapy with low molecular weight heparin,and underwent inferior vena cava filter placement.After the surgery,the patient continues to be treated with heparin and Hua Faning for anticoagulant therapy,when the international normalized ratio reached 2.5,heparin was discontinued,patient was treated with oral warfarin alone for maintenance therapy.Results:Patient's condition was better,and the right lower limb edema was gone.Review of lower extremity venous ultrasound showed part was recanalization.Conclusion:Oral contraceptives are high risk factors of pulmonary embolism.Because such cases in China are relatively rare,clinicians understanding is insufficient,we should be vigilant.
关键词
口服避孕药
肺栓塞
深静脉血栓
误诊
Oral contraceptive
Pulmonary embolism
Deep venous thrombosis
Misdiagnosis
