Clinical analysis of venous thromboembolic disease during puerperium

VernacularTitle:产褥期静脉血栓栓塞性疾病37例临床分析
Author: Mingyao LUO ; Chang SHU ; Quanming LI ; Xiaohua JIANG ; Ming LI
Publication Type:Journal Article
Keywords: Postpartum period; Venous thrombosis
From: Chinese Journal of General Practitioners 2011;10(2):124-125
CountryChina
Language:Chinese
Abstract: Thirty seven patients with venous thromboembolic disease in puerperium were admitted to hospital from January 2005 to December 2008; the clinical data of patients were retrospectively analyzed.The average age of patients was (33 ± 6)years (21 -42 years); the average onset time was ( 10 ± 6) d( 1 -50 d) after delivery.Seven patients had vaginal birth and 30 by cesarean section.The risk factors included pregnancy,cesarean section,age,infection,thrombophilia.All were diagnosed by ultrasonography and treated by anticoagulant,antiplatelet and thrombolytic therapy in the acute phase,followed by wearing elastic compressive stockings for more than 2 years.Pulmonary embolism was diagnosed in 8 patients by CT angiography,in 7 of whom inferior vena cava filter was administrated emergently.The patients were followed up for (29 ± 10)months ( 12 -60 months); during the follow-up 3 developed deep vein post-thrombosis syndrome,while others kept in good condition.The results indicate that initial anticoagulant,antiplatelet and thrombolytic therapy followed by elastic compressive stockings administration is effective for venous thromboembolic disease during puerperium.