摘要
目的分析妊娠合并肺栓塞临床特点及妊娠结局。方法收集广州医科大学附属第三医院妇产科2010年3月至2014年1月收治的15例妊娠合并肺栓塞患者的临床资料,对其一般情况、临床症状、辅助检查、治疗措施及妊娠结局进行回顾性分析。结果 (1)发病时间:妊娠早期1例,妊娠中期6例,妊娠晚期2例,剖宫产术后产褥期6例。(2)终止妊娠方式:剖宫产8例,剖宫取胎术5例,利凡诺引产1例,自然流产1例。(3)结局:孕妇死亡4例,存活11例;健康足月儿6例,早产儿3例,死胎6例。结论提高对妊娠合并肺栓塞疾病的认识,尽早确诊和治疗,改善其妊娠结局。
Objective To analyze the clinical characteristics and pregnancy outcomes of pregnancy complicating pulmonary embolism. Methods This study collected the clinical data of 15 pregnancies complicating pulmonary embolism, which were admitted into The Third Affiliated Hospital of Guangzhou Medical University from March 2010 to January 2014. The clinical data, including general condition, clinical symptoms, examinations, treatment and pregnancy outcomes were retrospectively analyzed. Results （ 1 ） Onset of disease ： l case occurred in the first trimester of pregnancy, 6 cases in the second trimester of pregnancy, and 2 cases in the third trimester of pregnancy, and the other 6 cases in the puerperal period after caesarean section. （2） Methods of pregnancy termination： 8 cases chose cesarean section to insure newborn＇s safe, 5 cases chose caesarean section due to the severity of mother＇s condition, 1 case chose abortion by injecting rivanol, and the other one occurred spontaneous abortion. （3） Outcomes： 4 mothers died, 11 mothers were survival; 6 newborns were healthy term infants, 3 newborns were premature, and there were 6 stillbirths. Conclusion With increasing recognition of pregnancy complicating pulmonary embolism, we should early diagnose and treat in order to improve the pregnancy outcomes.
出处
《中华产科急救电子杂志》
2014年第2期42-45,共4页
Chinese Journal of Obstetric Emergency（Electronic Edition）
关键词
妊娠
高危
肺栓塞
妊娠结局
Pregnancy, high risk
Pulmonary embolism
Pregnancy outcome
