静脉血栓风险增高妊娠妇女的处理

查看全文 作　　者：Dargaud [1]Y.;Rugeri [1]L.;Ninet [1]J.;张旸(译)[2];朱亮(校)[2] 机构地区：[1]Y. Dargaud, Laboratoire d' Hemostase Pav. E, Hopital Edouard Herriot, 5, place d' Arsonval, 69003 Lyon, France;[2]不详 出　　处：《世界核心医学期刊文摘(妇产科学分册)》索引2006年第2卷第1期,共2页 摘　　要：To evaluate the usefulness of score based management of pregnancies with high risk of venous thromboembolism (VTE). Method: 116 consecutive pregnancies in 109 women with confirmed thrombophilia and/or history of VTE were studied. Patients were managed in accordance with international recommendations. Recently, a VTE risk prediction score was established. An independent group assessed retrospectively and in a blinded way the usefulness of this score. Results: Of the 116 pregnancies, an antithrombotic prophylaxis by low molecular weight heparin was prescribed in 61 cases (52.6% ). All patients with a positive score (n = 57, 49.1% ) have been treated with an antenatal thromboprophylaxis. In the population where the score was negative (n = 55 cases), none of the patients received antenatal prophylaxis. But, despite a negative score, four patients were treated by their general practitioner. During the study period, there was only one episode of VTE. Conclusion: Implementing this scoring system has resulted in favorable outcomes and a low risk of recurrent thrombosis in this limited series of women with increased risk of VTE. 关 键 词：静脉血栓栓塞 妊娠妇女 高风险 预测评分系统 抗血栓形成 增高 预防用药 低分子量肝素 回顾性评价 VTE