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目的探讨剖宫产术后下肢深静脉血栓形成(LDVT)的易发因素及防治原则。方法回顾15例经临床确诊为LDVT患者的资料,分析LDVT的病因及高危因素,结合文献,总结该病的防治原则。结果妊娠期特殊的病生理变化为LDVT发生的基础病因,手术、高龄、肥胖、少运动及妊娠期高血压疾病、贫血等均为LDVT的高危因素。规范的基础治疗及对症处理,辅助中药制剂,可取得良好效果。结论剖宫产术后LDVT的发生是多因素的共同结果,故早预防、早诊断、及有效治疗十分重要。
Objective To investigate the risk factors and prevention and treatment of lower extremity deep venous thrombosis (LDVT) after cesarean section. Methods The data of 15 patients with clinically diagnosed as LDVT were retrospectively analyzed. The etiology and risk factors of LDVT were analyzed. According to the literature, the principle of prevention and treatment of this disease was summarized. Results The special physiological and pathological changes during pregnancy were the underlying causes of LDVT. The risk factors for LDVT were surgery, advanced age, obesity, less exercise and gestational hypertension, and anemia. Standardized basic treatment and symptomatic treatment, supporting traditional Chinese medicine preparations, can achieve good results. Conclusion The incidence of LDVT after cesarean section is a common result of many factors, so early prevention, early diagnosis and effective treatment are very important.