کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9091115 | 1148960 | 2005 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Maladie thromboembolique périopératoire et obstétricale. Pathologie gynécologique et obstétricale
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کلمات کلیدی
Pulmonary embolism - آمبولی ریهEmbolie pulmonaire - آمبولی ریهPregnancy - بارداریGrossesse - بارداری یا حاملگیcaesarean section - بخش سزارینDeep vein thrombosis - ترومبوز سیاهرگی عمقیThrombose veineuse profonde - ترومبوز وریدی عمیقThrombophilie - ترومبوفیلیThrombophilia - ترومبوفیلیاGynaecological surgery - جراحی زنان و زایمانChirurgie gynécologique - جراحی زنان و زایمانCésarienne - سزارینSyndrome des antiphospholipides - سندرم ضد فسفولیپیدهاAntiphospholipid syndrome - سندروم آنتی فسفولیپید Maternal death - مرگ مادرانMortalité maternelle - مرگ و میر مادرانHéparines de bas poids moléculaire - هپارین های وزن مولکولی کمlow molecular weight heparins - هپارین های کم مولکولیAntithrombin deficiency - کمبود آنتی ترومبین
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Venous thromboembolism is a leading cause of maternal mortality in many countries, including France. Most enquiries have repeatedly demonstrated that many deaths could be avoided, suggesting the need to update and ensure a wider diffusion of recommendations. Although thromboembolism-induced maternal death plays a major role, the absolute incidence of events remains low, reducing the ability to perform well-designed research and the level of recommendations presented. Many personal or pregnancy-related factors have been identified as increasing the risk of thromboembolism in pregnant patients but few of them have been associated with a significantly increased risk. A history of thromboembolic event and some thrombophilic factors (including antithrombin deficiency and antiphospholipid syndrome) carry the greatest risk. Pregnancy itself, caesarean delivery and the postpartum period, although associated with an increased risk play a minor role when not combined with other risk factors. Prophylactic treatment relies mainly on low molecular weight heparins which safety is now well established in pregnant patients. Dose and duration of treatment should be adapted to the perceived level of risk. The occurrence of a thromboembolic event is also increased after gynaecological surgery but major and cancer surgery carry the greatest risk. Here also, low molecular weight heparins play a leading role, although non pharmacologic means are useful. Dose and duration should be dependent on the level of risk.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annales Françaises d'Anesthésie et de Réanimation - Volume 24, Issue 8, August 2005, Pages 911-920
Journal: Annales Françaises d'Anesthésie et de Réanimation - Volume 24, Issue 8, August 2005, Pages 911-920
نویسندگان
D. Benhamou, A. Mignon, G. Aya, J.-F. Brichant, M. Bonnin, C. Chauleur, P. Deruelle, A.S. Ducloy, P. Edelman, A. Rigouzzo, B. Riu,