国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2012, Vol. 31 ›› Issue (2): 126-128.

• 综述 • 上一篇    下一篇

妇科围手术期静脉血栓栓塞症

邹萍萍,曲军英   

  1. 351100福建省莆田市，莆田学院附属医院妇产科（邹萍萍）；福建医科大学第一附属医院妇产科（曲军英）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-03-15 发布日期:2012-03-15
  • 通讯作者: 邹萍萍

Venous Thromboembolism in Gynecological Perioperative Period

ZOU Ping-ping， QU Jun -ying   

  1. Department of Obstetrics and Gynecology，Affiliated Hospital of Putian University，Putian 351100，China（ZOU Ping -ping）; Department of Obstetrics and Gynecology， the First Affiliated Hospital of Fujian Medical University，Fuzhou 350000，China（QU Jun-ying）
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-03-15 Online:2012-03-15
  • Contact: ZOU Ping-ping

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摘要： 深静脉血栓形成（deep venous thrombosis，DVT）是血液在深静脉内回流障碍引起的病症，
多发生在下肢，血栓脱落可引起肺栓塞（pulmonary embolism，PE），合称为静脉血栓栓塞症（venous
thromboembolism，VTE）。VTE为术后较常见的并发症，其形成是一个复杂的病理生理过程，许多物质均参
与其形成，同时许多因素影响其发生，有效的预防措施能显著减少VTE的发生，以抗凝为基础的及时正确
治疗可明显改善患者预后，新的治疗药物也将为患者带来福音。但在中国血栓发生的风险尚未被充分认
识，妇科围手术期止血与抗凝管理更有待探讨。

关键词: 静脉血栓形成, 手术后并发症, 抗凝药, 危险因素, 妇科学

Abstract:

Deep venous thrombosis（DVT）is caused by the backflow obstruction in the deep vein
blood. DVT often occurs in lower extremities. The deciduous thrombosis can lead pulmonary embolism（PE）.
DVT and PE collectively known thromboembolism（VTE）, common complication of

postoperativepatienwerets.Itisacomplexpaasthophysiovenouslogicalprocessinvolvedmanay substances and factors.
Effective preventive measures can greatly reduce the VTE occurrence. Anticoagulant treatments in time will
evidently improve patients’outcomes. In China，the risk of thrombosis has not yet been fully understood. It is

necessary to study further the clinical application of hemostatic and anticoagulation in the gynecological
perioperative period.

Key words: Venous thrombosis, Postoperative complications, Anticoagulants, Risk factors, Gynecology