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Pulmonary thrombo-embolism in pregnancy: diagnosis and management

机译:妊娠期肺血栓栓塞症的诊断和治疗

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摘要

Key points class="unordered" style="list-style-type:disc">Venous thromboembolism (VTE) in pregnancy remains a leading cause of direct maternal mortality in the developed world and identifiable risk factors are increasing in incidence.VTE is approximately 10-times more common in the pregnant population (compared with non-pregnant women) with an incidence of 1 in 1000 and the highest risk in the postnatal period.If pulmonary imaging is required, ventilation perfusion scanning is usually the preferred initial test to detect pulmonary embolism within pregnancy. Treatment should be commenced on clinical suspicion and not be withheld until an objective diagnosis is obtained.The mainstay of treatment for pulmonary thromboembolism in pregnancy is anticoagulation with low molecular weight heparin for a minimum of 3 months in total duration and until at least 6 weeks postnatal. Low molecular weight heparin is safe, effective and has a low associated bleeding risk.Educational aims class="unordered" style="list-style-type:disc">To inform readers about the current guidance for diagnosis and management of pulmonary thromboembolism in pregnancy.To highlight the risks of venous thromboembolism during pregnancy.To introduce the issues surrounding management of pulmonary thromboembolism around labour and delivery class="head no_bottom_margin" id="idm139914064504688title">Short abstract>Diagnosis and management of pulmonary thromboembolism in #pregnancy and labour
机译:关键点 class =“ unordered” style =“ list-style-type:disc”> <!-list-behavior = unordered prefix-word = mark-type = disc max-label-size = 0-> < li>发达国家的孕妇静脉血栓栓塞症(VTE)仍然是直接导致孕产妇死亡的主要原因,而且可识别的危险因素的发病率也在增加。 VTE在孕妇人群中的发病率大约高10倍(与未怀孕的女性相比)的发病率是千分之一,并且在产后风险最高。 如果需要进行肺部影像学检查,通气灌注扫描通常是检测肺栓塞的首选初始检查方法。怀孕。治疗应从临床上开始怀疑,直到获得客观诊断后才停止治疗。直到出生后至少6周。低分子量肝素是安全,有效且相关的出血风险低。 教育目标 class =“ unordered” style =“ list-style-type:disc”> <!-list -behavior = unordered prefix-word = mark-type = disc max-label-size = 0-> 向读者介绍妊娠期肺血栓栓塞的当前诊断和管理指南。 突出妊娠期间静脉血栓栓塞的风险。 介绍围绕分娩和分娩管理肺部血栓栓塞的问题 class =“ head no_bottom_margin” id =“ idm139914064504688title “>简短摘要 >妊娠和分娩中肺血栓栓塞的诊断和处理

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