目的 探讨分娩前后母体血浆D-二聚体的变化及其在预测和预防静脉血栓栓塞症的临床意义。方法 回顾性分析2015年5月在东莞市长安医院分娩的、产前与产后均进行了D-二聚体检测,产前与产后均未使用抗凝药物并产后随访6周的102例产妇的临床资料。结果 分娩后48~72小时,75.5%的产妇血浆D-二聚体水平下降,24.5%的产妇血浆D-二聚体水平升高。血浆D-二聚体水平升高的产妇60%存在发生VTE的高危因素,经积极预防,无静脉血栓栓塞症病例发生。结论 比较分娩前后母体血浆D-二聚体水平是有临床意义的。对分娩后母体血浆D-二聚体水平升高者,尤其是存在血栓高危因素者应高度重视,积极预防静脉血栓栓塞症。

目的 探讨产褥期静脉血栓栓塞症的发病机制、诊断、高危因素及预防措施。方法 回顾性分析2008年1月—2014年12月间在东莞市长安医院住院诊治的7例产褥期静脉血栓栓塞症患者的临床资料。结果 7例患者产后均未主动进行静脉栓塞症的预防性治疗,3例为静脉栓塞症高危患者,4例为静脉栓塞症中危患者。结论 应对产褥期患者进行静脉栓塞症的风险评估,并根据风险评估积极主动地预防静脉血栓栓塞症。

Objective To study the pathogenesis, clinical manifestation of venous thromboembolism, and its risk factors and preventive measures. Methods 7 cases of venous thromboembolism admitted in our hospital from 2008 to 2014 were reviewed retrospectively. Results All of the 7 cases were not given preventive treatment actively.3 cases were in high-risk, the other 4 cases were in intermediate risk. Conclusion It is important to assess the risk of venous thromboembolism during puerperium. And it is necessary to prevent venous thromboembolism actively based on the risk assessment.