静脉血栓栓塞发生在Nexplanon插入的设置中,具有多种危险因素:一个案例报告
1Department of Obstetrics and Gynecology, University of Washington, P.O. Box 356460, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Healthcare (Basel, Switzerland)
|October 29, 2025
概括
产后患者面临着明显更高的静脉血栓塞栓症 (VTE) 风险. 这一案例显示,在产后患者内插入Nexplanon后不久发生了静脉瘤,强调了及时诊断和管理.
科学领域:
- 产科和妇科 产科和妇科
- 血管医学 血管医学
- 生殖健康 生殖健康
背景情况:
- 产后患者患静脉血栓栓塞 (VTE) 的风险增加了60倍.
- 在这个人群中,VTE的危险因素包括先兆子,糖尿病和剖腹产.
- 像Nexplanon这样的皮下避孕植入物是常用的,但在高风险时期需要仔细考虑.
研究的目的:
- 报告产后静脉血栓栓塞 (VTE) 病例发生在Nexplanon插入后不久.
- 强调在产后期对VTE的临床怀疑的重要性.
- 讨论皮下植入物安置与高风险患者的静脉瘤之间的潜在关联.
主要方法:
- 一个产后患者的病例报告,患有严重的妊娠前,妊娠糖尿病和剖腹产分娩.
- 使用静脉双重超声波证实了VTE的诊断.
- 治疗包括抗凝药和切除Nexplanon植入物.
主要成果:
- 这位患者在纳克斯普朗隆插入后几个小时被诊断出VTE.
- 在服用抗凝药和切除植入物后,患者完全康复.
- 这种情况表明,VTE事件与产后期的皮下植入物安置相吻合.
结论:
- 在产后患者中,对VTE的临床警至关重要,特别是那些有风险因素的患者.
- 与VTE发展有关的Nexplanon插入的时间值得考虑.
- 及时诊断和管理对于产后VTE的良好结果至关重要.
相关概念视频
Venous Thrombosis I: Introduction
351
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
351
Venous Thrombosis IV: Nursing Management
192
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
192
Venous Thrombosis III: Interprofessional Care
276
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
276
Endocarditis IV: Nursing Management
314
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
314
Pulmonary Embolism III: Nursing Management
351
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
351
Varicose Veins I: Introduction
145
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
145


