论文部分内容阅读
近年来,随着超声检测(US)、CT扫描、核磁共振(MRI)等影像技术的发展,产后卵巢静脉栓塞(OVT)的诊断得以提高。为了进一步阐述OVT的临床特征及结局,对田纳西大学Crump妇女医院,近10年收治的11例OVT病例进行了回顾分析。 患者产后再次入院时给予抗炎治疗,确诊或臆断为OVT后,加用肝素5 000U静注,而后每小时1000U静滴。以部分凝血酶原时间(PTT)调节肝素滴速,平均在24h内(12～48h)达到PTT延长于对照组的1.5～2.0倍。OVT的US诊断标准为:盆腹腔实施超声探见包块或血凝块,同时Doppler证实
In recent years, the diagnosis of postpartum ovarian vein embolism (OVT) has been improved with the development of imaging techniques such as US, CT and MRI. To further elucidate the clinical features and outcome of OVT, 11 cases of OVT treated at the Crump Women’s Hospital of the University of Tennessee in the past 10 years were retrospectively analyzed. Anti-inflammatory treatment was given to the patient after admission for re-admission. After diagnosis or assumption of OVT, intravenous injection of 5000U heparin and 1000U intravenous infusion per hour were performed. Heparin drip rate was adjusted by partial prothrombin time (PTT), and the average PTT prolongation was 1.5-2.0 times that of the control group within 24h (12-48h). US diagnostic criteria for OVT: pelvic peritoneal ultrasound to detect mass or blood clots, while Doppler confirmed