Severe venous thromboembolism in the puerperal period caused by thrombosis: A case report

被引:2
作者
Zhang, Ji [1 ]
Sun, Jing-Li [1 ]
机构
[1] Gen Hosp Northern Theater Command, Dept Obstet & Gynecol, Heping Campus,5 Guangrong St, Shenyang 110000, Liaoning, Peoples R China
关键词
Venous thromboembolism; Pregnant women; Thrombophilia; Early diagnosis; Therapy; Case report; PREGNANCY; RISK; MANAGEMENT; DIAGNOSIS; WOMEN;
D O I
10.12998/wjcc.v8.i7.1311
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND The incidence of venous thromboembolism (VTE) in pregnant women is significantly higher than that in non-pregnant women. VTE is more common after delivery than before delivery, and this condition can be hidden and develops rapidly. VTE mainly includes deep vein thrombosis and pulmonary embolism. Thrombophilia is an important risk factor for VTE in pregnant women and includes acquired thrombophilia and hereditary thrombophilia. CASE SUMMARY A 24-year-old nulliparous female patient underwent cesarean section of the lower uterus due to fetal distress. Anti-inflammatory rehydration was given after the operation to prevent thrombosis. The patient had no obvious discomfort after surgery. Ten days after the operation, the patient developed a fever. The patient's mother revealed that she had a previous history of a lower extremity venous thrombosis. Color Doppler ultrasound showed deep vein thrombosis in the left lower extremity. The results of computed tomography angiography showed that the patient had a double pulmonary artery embolism. Bilateral lower extremity antegrade venography, inferior vena cava angiography and filter placement were performed. The patient continued to receive anticoagulant therapy. After 2 wk, the patient's condition improved. An anticoagulant protein test was performed 2 mo after discharge, and the results showed that both the patient and her mother had reduced protein S. CONCLUSION Clinicians should learn to recognize the high-risk factors for VTE, improve their understanding of VTE, and actively prevent and diagnose VTE as early as possible.
引用
收藏
页码:1311 / 1318
页数:8
相关论文
共 19 条
  • [1] [Anonymous], 2018, OBSTET GYNECOL, V132, pe18
  • [2] Diagnosis of DVT Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
    Bates, Shannon M.
    Jaeschke, Roman
    Stevens, Scott M.
    Goodacre, Steve
    Wells, Philip S.
    Stevenson, Matthew D.
    Kearon, Clive
    Schunemann, Holger J.
    Crowther, Mark
    Pauker, Stephen G.
    Makdissi, Regina
    Guyatt, Gordon H.
    [J]. CHEST, 2012, 141 (02) : E351S - E418S
  • [3] Anatomic distribution of deep vein thrombosis in pregnancy
    Chan, Wee-Shian
    Spencer, Frederick A.
    Ginsberg, Jeffrey S.
    [J]. CANADIAN MEDICAL ASSOCIATION JOURNAL, 2010, 182 (07) : 657 - 660
  • [4] Predicting Deep Venous Thrombosis in Pregnancy: Out in "LEFt" Field?
    Chan, Wee-Shian
    Lee, Agnes
    Spencer, Frederick A.
    Crowther, Mark
    Rodger, Marc
    Ramsay, Tim
    Ginsberg, Jeffrey S.
    [J]. ANNALS OF INTERNAL MEDICINE, 2009, 151 (02) : 85 - W22
  • [5] Venous thromboembolism in pregnancy: diagnosis, management and prevention
    Chunilal, Sanjeev D.
    Bates, Shannon M.
    [J]. THROMBOSIS AND HAEMOSTASIS, 2009, 101 (03) : 428 - 438
  • [6] Pregnancy-Related Mortality in the United States, 2011-2013
    Creanga, Andreea A.
    Syverson, Carla
    Seed, Kristi
    Callaghan, William M.
    [J]. OBSTETRICS AND GYNECOLOGY, 2017, 130 (02) : 366 - 373
  • [7] Pregnancy, thrombophilia, and the risk of a first venous thrombosis: systematic review and bayesian meta-analysis
    Croles, F. Nanne
    Nasserinejad, Kazem
    Duvekot, Johannes J.
    Kruip, Marieke J. H. A.
    Meijer, Karina
    Leebeek, Frank W. G.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2017, 359 : j4452
  • [8] HARENBERG J, 1993, HAEMOSTASIS, V23, P314
  • [9] Genetic variation within the anticoagulant, procoagulant, fibrinolytic and innate immunity pathways as risk factors for venous thromboembolism
    Heit, J. A.
    Cunningham, J. M.
    Petterson, T. M.
    Armasu, S. M.
    Rider, D. N.
    De Andrade, M.
    [J]. JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2011, 9 (06) : 1133 - 1142
  • [10] Safety and Efficacy of Enoxaparin in Pregnancy: A Systematic Review and Meta-Analysis
    Jacobson, Barry
    Rambiritch, Virendra
    Paek, Dara
    Sayre, Tobias
    Naidoo, Poobalan
    Shan, Jenny
    Leisegang, Rory
    [J]. ADVANCES IN THERAPY, 2020, 37 (01) : 27 - 40