【摘要】 目的探讨临时性腔静脉滤器在治疗产妇合并急性深静脉血栓形成患者中的必要性及安全性。方法对46例产妇明确诊断有急性深静脉血栓形成患者,选择27例放置临时腔静脉滤器预防肺栓塞,辅以取栓、溶栓等综合治疗,术后随访。结果27例均成功置入临时性腔静脉滤器,置入时间15～41天,平均24天,取出时拦截有血栓17例(62.9%),24例(88.8%)在预期时间一次取出。3例(11.1%)因拦截有较大血栓经再次溶栓后取出,取出后随访3～6个月,并行抗凝治疗,未发生致命性肺栓塞。结论临时性腔静脉滤器能有效减少产妇合并急性深静脉血栓形成患者患病治疗期间肺栓塞发病率及死亡率,并能避免永久性滤器置放的中远期并发症。更多还原

【Abstract】 Objective To evaluate the necessity and safety of implanting temporary vena cava filters to prevent pulmonary emboli in patients with acute deep venous thrombosis(DVT) in the lower extremity after delivers.Materials and Methods A total of 46 patients after delivery were complicaterd with DVT perioperatively.Among them,27 received temporary vena cava filters implantation before surgery therapy for the prevention of pulmonary embolism.All patients were followed up post-operation.Results Vena cava filters were successfully placed in all cases Mean implantation time was 24 days(range from 14 to days)42.Thrombus trapped within the filters were found in 17 patients(62.9%) after the filters removal.twenty-four filters(88.8 %) were retrived successfully at the frist attempt as scheduled.three filters(11.1 %) with big thrombi were removed at the 2nd attempt after additional throbolytic therapy.No fetal pulmonary embolism(PE) were detected during the three to six months follow-ups period.Conclusion Temporary vena cava filter can reduce the incidence and mortality of pulmonary embolism as well as the occurrence of mid-or long-term complications in patients with DVT after delivers.更多还原