关键词: 产后；住院患者；深静脉血栓形成；预防

Abstract:

Objective    To describe clinical characteristics of deep venous thrombosis (DVT) after delivery and to study how to choose methods of  diagnosis, treatment and prophylaxis of DVT. Methods    Among 2789 lyingin women in our hospital from January 2008 to December 2008,clinical characteristics and methods of  diagnosis and treatment of 20 inpatients with DVT were retrospectively analyzed. After reviewing the previous literature， pathogenesis and prophylactic steps were discussed. Results    The incidence rate of postpartum DVT was 0.72% in 2789 lying-in women, and the main type was peripheral DVT. Advanced age， venous thromboembolism, fatness， multipara and caesarean section were the high risk factors for inpatient postpartum DVT. A combination of plasma D-dimmer and Doppler ultrasonography was the best choice to  definitely diagnose DVT. Low molecule weight heparin (LMWH) anticoagulation was effective in the treatment of postpartum DVT.  Conclusions    The main type of DVT in inpatients after delivery  is peripheral DVT. Preoperative and postoperative prophylactic treatment for DVT should be considered in a high risk population. LMWH is commonly used and is safe for the treatment of DVT.

Key words: Postpartum； Inpatient； Deep venous thrombosis； Prophylaxis