摘要
目的探讨高海拔地区产褥期下肢深静脉血栓(DVT)的预防和治疗。方法选取本院2015年3月至2020年3月收治的妊娠期下肢深静脉血栓患者10例为研究对象,总结临床治疗方案,并分析高海拔地区发病因素和诊疗方案。结果患者确诊DVT后早期行DVT宣教、体位防治及低分子肝素钠治疗,后期口服法华林抗凝后患肢疼痛肿胀消失,半年后经彩色多普勒超声复查提示血栓消失,治疗期间均未出现明显不良反应。结论针对高海拔地区产褥期高发下肢静脉血栓,采取早期DVT宣教、体位治疗、低分子肝素钠及华法林的治疗,对于产褥期DVT患者具有较好的疗效及安全性,建议及早发现和治疗,强化饮食生活指导,有利于疾病的转归及预后。
Objective:To explore the prevention and treatment of deep vein thrombosis(DVT)of lower limbs during puerperium in high altitude areas.Methods:10 patients with deep vein thrombosis of the lower extremities during pregnancy who were admitted to our hospital from March 2015 to March 2020 were selected as the research objects.The clinical treatment plan was summarized,and the incidence factors and diagnosis and treatment plan in high altitude areas were analyzed.Results:After the diagnosis of DVT,the patient received early DVT education,posture prevention and low-molecular-weight heparin sodium.Later,after oral Fawarin anticoagulation,the pain and swelling of the affected limb disappeared.After half a year,the color Doppler ultrasound showed that the thrombosis disappeared,and there was no obvious phenomenon and no adverse reactions during the treatment.Conclusion:The high incidence of puerperal venous thrombosis in high altitude areas,early DVT education,postural therapy,low-molecular-weight heparin sodium and warfarin have good efficacy and safety for patients with puerperal DVT,early detection,early treatment,early anticoagulation,and diet life guidance is conducive to the outcome and prognosis of the disease.
作者
杨姗
Yang Shan(Qinghai Women and Children's Hospital,Xining Qinghai,810000,China)
出处
《中外女性健康研究》
2022年第8期63-64,共2页
Women＇s Health Research
关键词
产褥期
高海拔
下肢深静脉血栓
Puerperium
High altitude
Deep vein thrombosis of lower limbs
