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目的:分析妊娠合并肺栓塞(PE)的病因、临床特点、诊治方法及预防。方法:回顾性分析18例妊娠合并肺栓塞患者的病因、临床特点、辅助检查、治疗及预防方法。结果:18例妊娠合并肺栓塞患者均接受内科治疗,其中6例溶栓和抗凝联合,9例只抗凝。治愈或好转15例(83.33%),死亡3例(16.67%)。结论:肺栓塞是孕产妇常见的并发症,降低其病死率的关键在于临床提高认识,尽早确诊,及时治疗。
Objective: To analyze the etiology, clinical features, diagnosis and treatment and prevention of pregnancy complicated with pulmonary embolism (PE). Methods: The etiology, clinical features, auxiliary examination, treatment and prevention of 18 patients with pregnancy complicated with pulmonary embolism were retrospectively analyzed. Results: All the 18 patients with pregnancy complicated with pulmonary embolism received medical treatment. Among them, 6 cases were combined with thrombolysis and anticoagulation, and only 9 cases were anticoagulated. 15 cases were cured or improved (83.33%), and 3 cases died (16.67%). Conclusion: Pulmonary embolism is a common complication of pregnant women, reducing the mortality of the key lies in clinical awareness, early diagnosis and timely treatment.