论文部分内容阅读
妊娠期血栓病(TDP)已成为孕妇围产期死亡率和病率的主要原因。妊娠人群发生率为0.05% ~0.3% ,血栓性疾病高危者TDP的危险性增至7.5% ~12% 。妊娠期凝血系统变化是TDP的主要原因。C蛋白、S蛋白及抗凝血因子Ⅲ缺乏致TDP的危险性升高,抗磷脂抗体也与TDP有关。血流阻抗图(IPG)及超声波检查可用于筛选和诊断TDP,MRI和静脉造影有助于TDP的确诊。对高危TDP者应采取预防措施。肝素是防治TDP的主要抗凝剂,妊娠期使用较为安全。
Pregnancy thrombosis (TDP) has become the leading cause of perinatal mortality and morbidity in pregnant women. Pregnancy incidence of 0.05% to 0.3%, the risk of thrombotic disease in high-risk TDP increased to 7.5% to 12%. Changes in pregnancy coagulation system is the main reason for TDP. C protein, S protein and anti-coagulation factor Ⅲ-induced increased risk of TDP, anti-phospholipid antibodies and TDP. Blood flow impedance (IPG) and sonography can be used to screen and diagnose TDP. MRI and venography contribute to the diagnosis of TDP. For high-risk TDP should take precautionary measures. Heparin is the main anticoagulant for the prevention and treatment of TDP, the use of safer pregnancy is more secure.