国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2014, Vol. 33 ›› Issue (1): 8-10.

• 论著 • 上一篇    下一篇

辅助生殖技术并发血栓栓塞性疾病的临床研究并文献复习

任海颖，曲丹妮，李媛   

  1. 100020 北京，首都医科大学附属北京朝阳医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-01-15 发布日期:2014-01-15

Clinical Research of Assisted Reproduction Complicated with Thrombosis

REN Hai-ying，QU Dan-ni，LI Yuan   

  1. Department of Obstetrics and Gynecology，Capital Medical University Beijing Chaoyang Hospital，Beijing 100020，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-01-15 Online:2014-01-15

PDF (PC)

7602

摘要： 目的：提高对辅助生殖技术（ART）过程中并发血栓栓塞性疾病的认识，以便进行早期预防和治疗。方法：回顾性分析首都医科大学附属北京朝阳医院收治的2例ART并发血栓栓塞性疾病患者的临床资料，检索相关文献，总结诊断及预防治疗策略。结果：国内外文献报道ART并发血栓栓塞性疾病共43例，栓塞部位多位于上肢及头颈部，原因尚不清楚。所有患者均采用低分子肝素治疗，获得良好的临床结局。结论：提高对ART过程中并发血栓栓塞性疾病高危因素的认识，及时发现并给予合理的预防和治疗对保障ART安全，获得良好结局具有重要作用。

关键词: 生殖技术, 辅助, 受精, 体外, 胚胎移植, 血栓栓塞, 肺栓塞, 静脉血栓栓塞

Abstract: Objective: To analyze the clinical features of the assisted reproduction complicated with thrombosis，so as to improve the early prevention and treatment for this complication. Methods：Two cases of the assisted reproduction complicated with thrombosis were retrospectively analyzed in our hospital, and the related literatures were reviewed. Results：Forty-three cases of the assisted reproduction complicated with thrombosis were reported in the literatues. The site of embolism was predominantly in the upper extremity，head and neck，but the causes were unkown. Anticogulation with low-weight heparin was beneficial to get good clinical outcomes. Conclusions：There are many high risk factors of thrombosis during assisted reproduction. It is critical to improve prevention and the early treatment for thrombosis.

Key words: Reproductive techniques, assisted, Fertilization in vitro, Embryo transfer, Thromboembolism, Pulmonary embolism, Venous thromboembolism