Analysis of eight cases with perinatal pulmonary embolism
10.3760/cma.j.issn.1007-9408.2017.08.016
- VernacularTitle:围产期肺栓塞八例临床分析
- Author:
Na LIU
;
Yan LONG
;
Li LIN
;
Jie MENG
- Keywords:
Pregnancy;
Postpartum period;
Pulmonary embolism;
Incidence;
Pregnancy outcome
- From:
Chinese Journal of Perinatal Medicine
2017;20(8):618-622
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence,risk factors,clinical characteristics and pregnant outcomes of perinatal pulmonary embolism(PPE).Methods Clinical data of eight patients who were admitted to Beijing Friendship Hospital of Capital Medical University for PPE from January 2006 to March 2016 were collected.General condition,symptoms,laboratory examinations,images,treatments and outcomes of these patients were analyzed retrospectively.Results The ten-year incidence of PPE was 0.029％ (8/27 560) in this hospital.Among the eight cases,two cases were diagnosed in the first trimester,and treated successfully by thrombolytic therapy.But one of two cases stopped growth,while the other one was premature labor.There were one case in the third trimester who had successful anticoagulant therapy and five cases in the postpartum period after cesarean delivery.Among the five cases,three cases were recovered after anticoagulant therapy,one case was recovered after thrombolytic therapy and one case died.All of the eight patients were immobilized before the onset of PPE,and five of them were diagnosed after cesarean section.Four out of the eight patients were obese.Five patients had three or more high-risk factors for pulmonary embolism and the other three had two.Conclusions It is necessary to pay close attention to gravidas who have two or more high-risk factors of PPE due to its fatal outcome.
