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目的分析探讨妇产科术后静脉血栓栓塞症的诊断与治疗措施。方法回顾性分析笔者所在医院46例妇产科术后下肢深静脉血栓栓塞症患者的临床资料,探讨其正确诊断及早期治疗方法。结果 46例患者经常规治疗、抗凝和溶栓药物治疗后下肢疼痛、轻度肿胀均消失,患肢活动自如,住院8～14 d,出院后随访2个月,未发现遗留症。结论正确诊断静脉血栓栓塞症(VTE),根据患者的病情早期给予积极抗凝溶栓治疗,可消除临床症状,同时防止深静脉血栓(DVT)发展为严重的肺栓塞(PTE),降低发病率、病死率。
Objective To analyze the diagnosis and treatment of venous thromboembolism after obstetrics and gynecology. Methods The clinical data of 46 patients with post-operative lower extremity deep venous thromboembolism in our hospital were analyzed retrospectively to discuss the correct diagnosis and early treatment. Results All the 46 patients were treated routinely. After treatment with anticoagulant and thrombolytic drugs, the lower extremity pain and mild swelling disappeared and the limbs were free to move freely. The patients were admitted to hospital for 8 to 14 days and were followed up for 2 months after discharge. Conclusions Correct diagnosis of venous thromboembolism (VTE), early aggressive anticoagulation and thrombolytic therapy according to the patient’s condition, can eliminate clinical symptoms and prevent the development of deep venous thrombosis (DVT) to severe pulmonary embolism (PTE) and reduce the incidence , Fatality rate.