Clinical Analysis of 26 Cases of Venous Thromboembolism after Gynecology and Obstetric Surgeries
|School||Dalian Medical University|
|Course||Obstetrics and Gynaecology|
|Keywords||Venous thromboembolism (VTE) Gynecologic surgery Deep vein thrombosis (DVT) Pulmonary embolism (PTE) Gynecological surgery|
Objective: venous thromboembolism including pulmonary thromboembolism (pulmonary thromboembo-lism, PTE) and deep vein thrombosis ( deep venous JOURNAL OF PHARMACOLOGY AND TOXICOLOGY \DVT refers to fibrin , platelets , red blood cells and other blood components to form a clot in a deep vein endovascular ; easy to fall off of DVT thrombosis , is prone to cause PTE run with the blood circulation of DVT and PTE VTE course of two different stages , the former is the prevention of the occurrence of the latter is essential . No significant symptoms due to 80% DVT , PTE abrupt onset of high fatality therefore Obstetrics and Gynecology postoperative DVT prevention and early diagnosis and treatment is important . The article discusses the Obstetrics and Gynecology postoperative venous thromboembolism (VTE) , early diagnosis, treatment and prevention methods . Methods: Dalian Maternity Hospital of Obstetrics and Gynecology the 2002-01/2009-12 postoperative VTE26 cases , clinical analysis results including and 18 cases DVT8 patients with PTE : 26 cases of postoperative VTE . 18 patients with DVT in 15 cases , a course of cure , patients with two cycles of healing , two cases after consultation recommended embolectomy transferred to the General Hospital to continue treatment . Eight cases of PTE patients , two cases in our hospital successful rescue of two cases died , four cases transferred to the general hospital treatment improved again into the hospital to continue to consolidate the treatment . Addition to the deaths , 24 patients were discharged coagulation tests were normal . Conclusion : VTE is one of the most common complications after gynecological malignancies after cesarean section ; female the pelvic anatomical characteristics and physiological changes during pregnancy are important factors of Obstetrics and Gynecology postoperative VTE ; risk factors of VTE old , vicious tumor , blood transfusion , hypertension and diabetes . Laparoscopic surgery did not increase the incidence of postoperative VTE ; ultrasonography and D - dimer test the VTE effective diagnostic tool , should be used as a routine examination of symptomatic patients each ; routine application of LMWH and IPC effective in the prevention of postoperative VTE place.