围产期肺栓塞12例临床分析
摘要：目的 探讨围产期肺栓塞（PTE）的高危因素、临床特点、诊治预防措施及预后。方法 回顾性分析长沙市中心医院住院诊断的12例围产期PTE患者的临床资料。结果 围产期PTE患者存在易患因素，以长时间卧床为最常见，其症状和体征是非特异性的。CT肺动脉造影（CTPA）等检查均有助于诊断。早期积极溶栓、抗凝治疗可降低病死率。结论 围产期PTE发病率高，易误诊，应早期、积极采取抗凝、溶栓治疗。
关键词：肺血栓栓塞症；围产期；诊断；治疗；预后
Clinical Analysis of 12 Cases of Perinatal Pulmonary Embolism
JIANG Jie-han，ZHU Jin-qi，LIU Sheng-gang，PENG Yi-qiang，YANG Hong-zhong
（Department of Respiration，Changsha Central Hospital，Changsha 410006，Hunan，China）
Abstract：Objective To discuss the risk factors，clinical features，early diagnosis and treatment of Perinatal pulmonary embolism.Methods The clinical data of 12 patients hospitalized with Perinatal pulmonary embolism in Changsha Central Hospital were reviewed.Results Perinatal pulmonary embolism patients were associated with a number of risks including long time in bed，the most frequent risk factor，and clinical symptoms and signs of PTE were usually nonspecific.CT pulmonary angiography（CTPA）were helpful to the diagnosis.Early thrombolysis and anticoagulation therapy decreased the case fatality rate.Conclusion The incidence rate of perinatal pulmonary embolism is high，which is easy to misdiagnosis.We should actively take earlier anticoagulation therapy and thrombolytic therapy
Key words：Pulmonary embolism；Perinatal period；Diagnosis；Treatment；Prognosis
妊娠期和产褥期是静脉血栓栓塞症（venous thromboembolism，VTE）发生的高危期，发生率约为0.5‰～7‰。肺栓塞（pulmonary thromboembolism，PTE）是一种误诊率和病死率较高的疾病，且发病率逐年上升，已被认为是孕产妇死亡的首要原因之一[1，2]。本次就我院发生的12例围产期肺栓塞患者进行回顾性研究，以期提高临床医师对围产期PTE的诊断和...
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