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孕早期合并特殊部位深静脉血栓形成3例报道及文献复习

王文达 赵宇 彭萍 刘欣燕

王文达, 赵宇, 彭萍, 刘欣燕. 孕早期合并特殊部位深静脉血栓形成3例报道及文献复习[J]. 协和医学杂志, 2015, 6(5): 352-356. doi: 10.3969/j.issn.1674-9081.2015.05.008
引用本文: 王文达, 赵宇, 彭萍, 刘欣燕. 孕早期合并特殊部位深静脉血栓形成3例报道及文献复习[J]. 协和医学杂志, 2015, 6(5): 352-356. doi: 10.3969/j.issn.1674-9081.2015.05.008
Wen-da WANG, Yu ZHAO, Ping PENG, Xin-yan LIU. Deep Venous Thrombosis in First Trimester: Report of Three Cases and Literature Review[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(5): 352-356. doi: 10.3969/j.issn.1674-9081.2015.05.008
Citation: Wen-da WANG, Yu ZHAO, Ping PENG, Xin-yan LIU. Deep Venous Thrombosis in First Trimester: Report of Three Cases and Literature Review[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(5): 352-356. doi: 10.3969/j.issn.1674-9081.2015.05.008

孕早期合并特殊部位深静脉血栓形成3例报道及文献复习

doi: 10.3969/j.issn.1674-9081.2015.05.008
详细信息
    通讯作者:

    彭萍 电话:010-69155657, E-mail:pengping2164@sina.com

  • 中图分类号: R714.21

Deep Venous Thrombosis in First Trimester: Report of Three Cases and Literature Review

More Information
  • 摘要:   目的  探讨孕早期合并特殊部位深静脉血栓形成的临床特点、诊断和治疗。  方法  回顾性分析2013年9月至2014年6月在北京协和医院住院治疗的3例妊娠早期合并特殊部位深静脉血栓形成病例的临床表现、诊断、治疗及预后情况。  结果  1例妊娠合并肺栓塞、2例妊娠合并肠系膜-门静脉血栓形成, 孕早期发病, 对母亲及胎儿的预后影响大。血栓诊断首选多普勒超声, 治疗同非孕期, 以抗凝为主。3例均选择手术或药物流产。2例血栓稳定后药物流产终止妊娠顺利。1例于肠切除术后行钳刮术终止妊娠出血较多。  结论  孕早期合并特殊部位深静脉血栓形成罕见。其诊断应依靠临床表现及检查进行综合判断。抗凝治疗仍为关键, 且不同部位深静脉血栓形成可能需要配合相应溶栓或手术治疗。如选择终止妊娠, 血栓稳定后效果更佳。
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出版历程
  • 收稿日期:  2014-06-13
  • 刊出日期:  2015-09-30

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