Dissertation
Dissertation > Medicine, health > Obstetrics and Gynaecology > Obstetric surgery

Clinical Analysis of 26 Cases of Venous Thromboembolism after Gynecology and Obstetric Surgeries

Author XiaoShuQin
Tutor HanZuo
School Dalian Medical University
Course Obstetrics and Gynaecology
Keywords Venous thromboembolism (VTE) Gynecologic surgery Deep vein thrombosis (DVT) Pulmonary embolism (PTE) Gynecological surgery
CLC R719
Type Master's thesis
Year 2010
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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.

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