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目的:探讨导致孕产妇下肢深静脉血栓的高危因素、临床特点及治疗和预防方法。方法:回顾性分析20例孕产妇合并深静脉血栓患者的临床资料。结果:妊娠期发病6例(30),产后发病14例(70)。20例患者中,均常规给予溶栓、抗凝、改善微循环等治疗后症状好转。所有孕产妇治疗过程中均未发生大出血现象。结论:孕产妇易发生深静脉血栓,出现下肢肿胀、疼痛等症状,重则导致股青肿,治疗不及时易引起肢体残废甚至患者死亡。对孕产妇临床可疑者,应尽早诊治。我国孕产妇深静脉血栓的发生率在不断升高,应提高警惕,加强预防。
Objective: To investigate the risk factors, clinical features, treatment and prevention of deep vein thrombosis in pregnant women. Methods: The clinical data of 20 pregnant women with deep vein thrombosis were retrospectively analyzed. Results: The incidence of pregnancy in 6 cases (30), postpartum onset in 14 cases (70). Twenty patients were routinely given thrombolysis, anticoagulation, improve microcirculation and other symptoms improved. No major bleeding occurred during the course of maternal treatment. Conclusion: Maternal prone to deep venous thrombosis, lower extremity swelling, pain and other symptoms, but also lead to bruising, treatment is not timely cause limb disability or even death. Clinical suspicious of pregnant women should be diagnosed and treated as soon as possible. The incidence of maternal deep vein thrombosis in our country is on the rise, should be vigilant and strengthen prevention.