中国实用妇科与产科杂志2025，Vol.41Issue(6)：614-618,5.DOI:10.19538/j.fk2025060109
围产期静脉血栓栓塞症的预防与处理
Prevention and management of perinatal venous thromboembolism
摘要
Abstract
Venous thromboembolism(VTE)has become one of the leading causes of maternal mortality in China.With the increase in advanced pregnancy,obesity,and pregnancy complications,the incidence of VTE shows a trend of significant increase.Clinical manifestations of VTE are diverse but non-specific,with DVT typically presenting as unilateral lower limb edema and pain,while PE may present with dyspnea and chest pain.The diagnosis requires multiple auxiliary examinations including CUS and CTPA,with careful differentiation from conditions such as amniotic fluid embolism.The treatment primarily involves anticoagulation with low molecular weight heparin,while in severe PE cases thrombolytic therapy may be considered.High-risk populations should receive physical prophylaxis and necessary pharmacological prevention from early pregnancy.Early recognition and timely and standardized multidisciplinary treatment are crucial for improving maternal and fetal outcomes.关键词
围产期肺栓塞/深静脉血栓/抗凝治疗/宣教/预防Key words
perinatal pulmonary embolism/deep vein thrombosis/anticoagulant therapy/education/prevention分类
医药卫生引用本文复制引用
李东言,魏玉梅..围产期静脉血栓栓塞症的预防与处理[J].中国实用妇科与产科杂志,2025,41(6):614-618,5.基金项目
国家自然科学基金(82471714) （82471714）
国家重点研发计划(2022YFC2704605) National Natural Science Foundation of China(82471714) （2022YFC2704605）
National Key Research and Develop-ment Program of China(2022YFC2704605) （2022YFC2704605）
