Articolul precedent |
Articolul urmator |
329 8 |
Ultima descărcare din IBN: 2024-04-17 22:07 |
SM ISO690:2012 CAPROS, Hristiana. Embolia pulmonară în sarcină. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 597. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
|
||||||
Pag. 597-597 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Background. Pregnancy and the postpartum period are associated with an increased incidence of venous thromboembolism (VTE), which occurs in approximately 0.05-0.20% of all pregnancies. Pulmonary embolism (PE) is a major public health problem in both developing and industrially developed countries. The diagnosis and administration of cases of pulmonary embolism remain a challenge for current obstetric practice due to the symptoms associated with pregnancy, which are sometimes very similar to those of venous thromboembolism. Objective of the study. Assessment of risk factors for pulmonary embolism in pregnancy. Material and Methods. Inclusion criteria were: pretest clinical probability assessment and positive high-sensitivity D-dimer testing. The PE diagnostic work-up included: the original Geneva score, pulse-oximetry, arterial gases management (pulse, PaCO2, PaO2), ECG, cardiac biomarkers, echocardiogram and computed tomography pulmonary angiography (CTPA). Results. The study included 424 pregnant women presenting at obstetrical department, 9 (2.12%) of them with clinically suspected PE. Among studied woman, PE was diagnosed in 2 (22.22%) based on positive CTPA results, with high (1 pregnant) and intermediate (1 pregnant) Geneva score. The most important risk factors highlighted for VTE in pregnancy were large varicose veins and age> 35 years. We excluded PE in 415 based on clinical probability and negative D-dimer result in 2(22.22%) female and negative CTPA result in 7(77.78%) cases. Two women (22.22%) received extended anticoagulation during follow-up, mainly for previous PE. Conclusion. The gold standard for diagnosis is pulmonary CT angiography which involves radiation exposure to mother and fetus. On the other hand, the administration of "blind" anticoagulant therapy during pregnancy may increase the risk of bleeding complications. The major challenge in these cases is the correct choice of the situation in which pulmonary CT angiography is needed. |
||||||
Cuvinte-cheie pulmonary embolism, venous thromboembolism, pregnancy, embolie pulmonara, tromboembolie venoasă, sarcina |
||||||
|