怀疑静脉血栓栓塞的产后个体的诊断策略:一个范围审查
Gurjeet Bhangu1, Alistair Murray1, Areeb Qayyum1
1Department of Medicine, University of Calgary, Calgary, AB, Canada.
Thrombosis research
|February 29, 2024
概括
产后静脉血栓栓塞 (VTE) 诊断缺乏标准化的方法. 本综述强调了不同的全球方法,以及需要更好的证据来指导临床实践在产后个人诊断VTE.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 产后静脉血栓塞栓症 (VTE) 对孕产妇的发病率和死亡率构成重大风险.
- 怀孕期间VTE的诊断策略已经确立,但产后期的数据有限.
研究的目的:
- 在产后个人中对疑似VTE的诊断策略进行范围审查.
- 评估和描述目前在全球使用的诊断方法.
主要方法:
- 从2000年到2022年,在主要数据库 (MEDLINE,Embase,Cochrane) 进行了全面的文献搜索.
- 数据提取包括人口统计,临床决策规则,D-二次元使用,成像技术,测试性能和VTE结果.
- 包括13项研究,包括759名怀疑患有PE或DVT的个人产后特定数据.
主要成果:
- 计算机断层扫描肺血管造影在怀疑肺栓塞 (PE) 时比V/Q扫描更常见.
- 在怀疑PE的产后个体中,D-二聚体测试很少呈阴性.
- 压缩超声波是疑似深静脉血栓 (DVT) 的首要诊断工具,阳性率各不相同.
结论:
- 产后静脉瘤的诊断方法在全世界是不一致的.
- 高质量的证据很少,这表明急需更强大的研究来为临床指导方针提供信息.
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