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[The prevention, diagnosis and management of pregnancy-associated pulmonary embolism].
- Source :
-
Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2024 Aug 06; Vol. 104 (30), pp. 2785-2790. - Publication Year :
- 2024
-
Abstract
- Pregnancy-associated pulmonary embolism (PE) is a type of venous thromboembolism (VTE) that seriously threatens the lives of pregnant women and has gained more attention in clinical practice. Due to physiological and anatomical characteristics, the incidence of VTE during pregnancy and postpartum is significantly higher than that during non-pregnancy periods. Currently, guidelines widely acknowledge the exploration of appropriate risk assessment models to evaluate the risk of pregnancy-associated VTE and to take corresponding preventive measures from mechanical to medication methods according to different risk levels. For patients suspected of PE, initial assessments can be made based on whether they exhibit clinical manifestations of deep vein thrombosis, with options including vascular compression ultrasonography or chest X-ray examination. Confirmation relies on CT pulmonary angiography or V/Q imaging. For patients with shock, echocardiography can be quickly used for the diagnosis and differential diagnosis of PE. The management of pregnancy-associated pulmonary embolism PE depends on the patient's hemodynamic status, with options including reperfusion therapy or anticoagulation therapy. Extracorporeal membrane oxygenation may also be beneficial in high risk patients. The overall evidence level for the prevention and management of pregnancy-associated PE is low, and further exploration in clinical practice is still needed to promote the safety of pregnant women.
- Subjects :
- Humans
Pregnancy
Female
Pregnancy Complications, Cardiovascular diagnosis
Pregnancy Complications, Cardiovascular therapy
Pregnancy Complications, Cardiovascular prevention & control
Anticoagulants therapeutic use
Venous Thromboembolism prevention & control
Venous Thromboembolism diagnosis
Venous Thromboembolism therapy
Venous Thromboembolism etiology
Risk Factors
Venous Thrombosis diagnosis
Venous Thrombosis prevention & control
Venous Thrombosis therapy
Echocardiography
Extracorporeal Membrane Oxygenation
Pulmonary Embolism diagnosis
Pulmonary Embolism prevention & control
Pulmonary Embolism therapy
Subjects
Details
- Language :
- Chinese
- ISSN :
- 0376-2491
- Volume :
- 104
- Issue :
- 30
- Database :
- MEDLINE
- Journal :
- Zhonghua yi xue za zhi
- Publication Type :
- Academic Journal
- Accession number :
- 39085144
- Full Text :
- https://doi.org/10.3760/cma.j.cn112137-20240229-00446