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目的分析产褥期下肢血栓性静脉炎的病因、病机、诊断及治疗。方法对2004年1月—2009年12月60例产褥期下肢血栓性静脉炎患者的治疗过程进行回顾性分析。结果 60例患者治愈46例,显效10例,好转4例,46例痊愈患者均无并发症,随访1~3年无复发。结论产褥期下肢血栓性静脉炎的发病与妊娠期产妇的生理变化及某些妊娠合并症、并发症和手术损伤有关,通过抗感染、抗凝、溶栓加以支持疗法、配合中医药治疗可取得较好的治疗效果。
Objective To analyze the etiology, pathogenesis, diagnosis and treatment of thrombophlebitis in lower extremities during puerperium. Methods From January 2004 to December 2009, 60 cases of puerperal lower extremity thrombophlebitis were treated by retrospective analysis. Results Sixty - six patients were cured 46 cases, markedly effective in 10 cases, improved in 4 cases, 46 cases were cured patients without complications, followed up for 1 to 3 years without recurrence. Conclusions The incidence of thrombophlebitis in the lower extremities during puerperium is related to the physiological changes of pregnant women during pregnancy and some complications of pregnancy. Complications and surgical injuries are associated with the supportive therapies through anti-infection, anticoagulation and thrombolysis and can be compared with traditional Chinese medicine Good therapeutic effect.