评估高风险怀孕的血栓预防策略:当前的视角
Lucia Stančiaková1, Kristína Brisudová2, Ingrid Škorňová1
1National Center of Hemostasis and Thrombosis, Department of Hematology and Transfusion Medicine, Martin University Hospital, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, 036 01 Martin, Slovakia.
Pharmaceuticals (Basel, Switzerland)
|June 27, 2024
概括
患有静脉血栓塞栓症 (VTE) 高风险的孕妇可以通过适当的血栓预防治疗显著降低风险. 低分子量肝素 (LMWH) 建议在怀孕期间和产后进行静脉瘤预防.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 药理学 药理学是指药理学的学科.
背景情况:
- 静脉血栓塞栓症 (VTE) 是孕产妇死亡的主要原因.
- 怀孕中VTE的危险因素包括VTE病史,死胎,剖腹产和血栓友.
- 有效的血栓预防可以在高风险的孕妇中将VTE风险降低60-70%.
研究的目的:
- 对高风险的VTE孕妇进行血栓预防的选择进行审查.
- 总结VTE管理在特定的产科场景,如剖腹产和神经轴阻塞.
主要方法:
- 对PubMed,Web of Science和Scopus数据库进行系统审查.
- 在怀孕期间鉴定和综合关于VTE预防的证据.
- 对产科并发症中VTE的管理策略的分析.
主要成果:
- 低分子量肝素 (LMWH) 是用于血栓预防的首选抗凝剂.
- LMWH提供了方便的管理和有利的安全性.
- 总结了在特定产科情况下进行VTE预防的指导方针.
结论:
- 血栓预防对于降低孕妇静脉瘤风险至关重要.
- 在怀孕和产后期间,LMWH是目前用于预防VTE的护理标准.
- 基于证据的管理策略对于高风险的产科患者至关重要.
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