Baidu
map

妇产科指南

订阅

MedSci主页 / 所有栏目 / 妇产科指南

预防妊娠期和产褥期静脉血栓栓塞，特别关注遗传性血栓形成倾向女性或此前有VTE形成女性：止血协会 (GTH) 妇女健康工作组立场文件

2021-11-04 国际血栓与止血学会 Hamostaseologie . 2020 Dec;40(5):572-590

VTE

静脉血栓栓塞 (VTE) 是孕期和产后产妇发病的主要原因。由于缺乏足够的研究数据，妊娠期间预防 VTE 的管理策略主要是从病例对照和观察性研究中推导出来的，并从对非妊娠患者的建议中推断出来。必须根据个

中文标题：

预防妊娠期和产褥期静脉血栓栓塞，特别关注遗传性血栓形成倾向女性或此前有VTE形成女性：止血协会 (GTH) 妇女健康工作组立场文件

英文标题：

Prevention of Venous Thromboembolism during Pregnancy and the Puerperium with a Special Focus on Women with Hereditary Thrombophilia or Prior VTE-Position Paper of the Working Group in Women's Health of the Society of Thrombosis and Haemostasis (GTH)

发布机构：

国际血栓与止血学会

发布日期：

2021-11-04

简要介绍：

静脉血栓栓塞 (VTE) 是孕期和产后产妇发病的主要原因。由于缺乏足够的研究数据，妊娠期间预防 VTE 的管理策略主要是从病例对照和观察性研究中推导出来的，并从对非妊娠患者的建议中推断出来。必须根据个体情况，权衡 VTE 风险与严重出血并发症等不良副作用的风险，才能决定是否接受药物血栓预防。综合的、多学科的方法通常是必不可少的，因为特定的产科环境使临床情况变得更加复杂，尤其是在围产期。作为血栓形成与止血协会 (GTH) 妇女健康工作组的成员，我们总结了现有文献中的证据，旨在为妊娠和产褥期 VTE 风险评估和血栓预防制定更统一的策略。在本文件中，我们关注患有遗传性血栓形成倾向、既往 VTE 和使用可在怀孕和哺乳期间安全使用的抗凝剂的女性。

相关资料下载：
[AttachmentFileName(sort=1, fileName=1.pdf)] GetToolGuiderByIdResponse(projectId=1, id=4f2571c0022a88fc, title=预防妊娠期和产褥期静脉血栓栓塞，特别关注遗传性血栓形成倾向女性或此前有VTE形成女性：止血协会 (GTH) 妇女健康工作组立场文件, enTitle=Prevention of Venous Thromboembolism during Pregnancy and the Puerperium with a Special Focus on Women with Hereditary Thrombophilia or Prior VTE-Position Paper of the Working Group in Women's Health of the Society of Thrombosis and Haemostasis (GTH), guiderFrom=Hamostaseologie . 2020 Dec;40(5):572-590, authorId=0, author=, summary=静脉血栓栓塞 (VTE) 是孕期和产后产妇发病的主要原因。由于缺乏足够的研究数据，妊娠期间预防 VTE 的管理策略主要是从病例对照和观察性研究中推导出来的，并从对非妊娠患者的建议中推断出来。必须根据个, cover=, journalId=0, articlesId=null, associationId=405, associationName=国际血栓与止血学会, associationIntro=国际血栓和止血学会（ISTH）始建于1969年，是一个国际性的个人会员组织，成员来自世界各地，目前约有3000多个。其宗旨是通过会议、出版物和专家委员会制定相关的研究方法及标准等来提高血栓性及出血性疾病的医学教育和研究水平。, copyright=0, guiderPublishedTime=Thu Nov 04 00:00:00 CST 2021, originalUrl=, linkOutUrl=, content=<p><span class="VIiyi" lang="zh-CN"><span class="JLqJ4b" data-language-for-alternatives="zh-CN" data-language-to-translate-into="en" data-phrase-index="0" data-number-of-phrases="1">静脉血栓栓塞 (VTE) 是孕期和产后产妇发病的主要原因。由于缺乏足够的研究数据，妊娠期间预防 VTE 的管理策略主要是从病例对照和观察性研究中推导出来的，并从对非妊娠患者的建议中推断出来。必须根据个体情况，权衡 VTE 风险与严重出血并发症等不良副作用的风险，才能决定是否接受药物血栓预防。综合的、多学科的方法通常是必不可少的，因为特定的产科环境使临床情况变得更加复杂，尤其是在围产期。作为血栓形成与止血协会 (GTH) 妇女健康工作组的成员，我们总结了现有文献中的证据，旨在为妊娠和产褥期 VTE 风险评估和血栓预防制定更统一的策略。在本文件中，我们关注患有遗传性血栓形成倾向、既往 VTE 和使用可在怀孕和哺乳期间安全使用的抗凝剂的女性。</span></span></p>, tagList=[TagDto(tagId=8617, tagName=VTE)], categoryList=[CategoryDto(categoryId=36, categoryName=妇产科, tenant=100), CategoryDto(categoryId=79, categoryName=护理, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=0, guiderKeyword=, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=10, opened=0, paymentType=, paymentAmount=20, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=2603, appHits=198, showAppHits=0, pcHits=380, showPcHits=2405, likes=2, shares=30, comments=10, approvalStatus=1, publishedTime=Tue Nov 02 08:17:03 CST 2021, publishedTimeString=2021-11-04, pcVisible=1, appVisible=1, editorId=4754896, editor=小小医者, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=2, createdBy=null, createdName=小小医者, createdTime=Mon Nov 01 23:21:48 CST 2021, updatedBy=4754896, updatedName=小小医者, updatedTime=Sat Jan 06 04:41:41 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=1.pdf)])
1.pdf
下载请点击：
评论区 (8)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1199270, encodeId=a4bb11992e073, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Fri Mar 04 07:39:39 CST 2022, time=2022-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193740, encodeId=8cac1193e403b, content=学到了，很棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=782a5535518, createdName=ms2000001741529705, createdTime=Tue Feb 15 20:51:51 CST 2022, time=2022-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082471, encodeId=3fe610824e177, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c22d6415434, createdName=ms6000001183280030, createdTime=Tue Dec 21 09:37:00 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074787, encodeId=17f210e4787f0, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=adfa3246155, createdName=12cdce52m85暂无昵称, createdTime=Sun Nov 28 16:12:20 CST 2021, time=2021-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072559, encodeId=2cd910e255916, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eouShoVRPZvFshog2V4Bs8JhDIybaiaNUp16CYicwfDeRB6KoOUPj3fibYhRSsWDJ2LGJM8fFQVIrdnQ/132, createdBy=f44f2325690, createdName=苏新攀, createdTime=Sun Nov 21 17:21:33 CST 2021, time=2021-11-21, status=1, ipAttribution=)]
    2022-03-04 胡国宏

    #学习#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1199270, encodeId=a4bb11992e073, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Fri Mar 04 07:39:39 CST 2022, time=2022-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193740, encodeId=8cac1193e403b, content=学到了，很棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=782a5535518, createdName=ms2000001741529705, createdTime=Tue Feb 15 20:51:51 CST 2022, time=2022-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082471, encodeId=3fe610824e177, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c22d6415434, createdName=ms6000001183280030, createdTime=Tue Dec 21 09:37:00 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074787, encodeId=17f210e4787f0, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=adfa3246155, createdName=12cdce52m85暂无昵称, createdTime=Sun Nov 28 16:12:20 CST 2021, time=2021-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072559, encodeId=2cd910e255916, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eouShoVRPZvFshog2V4Bs8JhDIybaiaNUp16CYicwfDeRB6KoOUPj3fibYhRSsWDJ2LGJM8fFQVIrdnQ/132, createdBy=f44f2325690, createdName=苏新攀, createdTime=Sun Nov 21 17:21:33 CST 2021, time=2021-11-21, status=1, ipAttribution=)]
    2022-02-15 ms2000001741529705

    学到了，很棒

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1199270, encodeId=a4bb11992e073, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Fri Mar 04 07:39:39 CST 2022, time=2022-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193740, encodeId=8cac1193e403b, content=学到了，很棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=782a5535518, createdName=ms2000001741529705, createdTime=Tue Feb 15 20:51:51 CST 2022, time=2022-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082471, encodeId=3fe610824e177, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c22d6415434, createdName=ms6000001183280030, createdTime=Tue Dec 21 09:37:00 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074787, encodeId=17f210e4787f0, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=adfa3246155, createdName=12cdce52m85暂无昵称, createdTime=Sun Nov 28 16:12:20 CST 2021, time=2021-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072559, encodeId=2cd910e255916, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eouShoVRPZvFshog2V4Bs8JhDIybaiaNUp16CYicwfDeRB6KoOUPj3fibYhRSsWDJ2LGJM8fFQVIrdnQ/132, createdBy=f44f2325690, createdName=苏新攀, createdTime=Sun Nov 21 17:21:33 CST 2021, time=2021-11-21, status=1, ipAttribution=)]
    2021-12-21 ms6000001183280030

    学习一下

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1199270, encodeId=a4bb11992e073, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Fri Mar 04 07:39:39 CST 2022, time=2022-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193740, encodeId=8cac1193e403b, content=学到了，很棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=782a5535518, createdName=ms2000001741529705, createdTime=Tue Feb 15 20:51:51 CST 2022, time=2022-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082471, encodeId=3fe610824e177, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c22d6415434, createdName=ms6000001183280030, createdTime=Tue Dec 21 09:37:00 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074787, encodeId=17f210e4787f0, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=adfa3246155, createdName=12cdce52m85暂无昵称, createdTime=Sun Nov 28 16:12:20 CST 2021, time=2021-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072559, encodeId=2cd910e255916, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eouShoVRPZvFshog2V4Bs8JhDIybaiaNUp16CYicwfDeRB6KoOUPj3fibYhRSsWDJ2LGJM8fFQVIrdnQ/132, createdBy=f44f2325690, createdName=苏新攀, createdTime=Sun Nov 21 17:21:33 CST 2021, time=2021-11-21, status=1, ipAttribution=)]
    2021-11-28 12cdce52m85暂无昵称

    学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1199270, encodeId=a4bb11992e073, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Fri Mar 04 07:39:39 CST 2022, time=2022-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193740, encodeId=8cac1193e403b, content=学到了，很棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=782a5535518, createdName=ms2000001741529705, createdTime=Tue Feb 15 20:51:51 CST 2022, time=2022-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082471, encodeId=3fe610824e177, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c22d6415434, createdName=ms6000001183280030, createdTime=Tue Dec 21 09:37:00 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074787, encodeId=17f210e4787f0, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=adfa3246155, createdName=12cdce52m85暂无昵称, createdTime=Sun Nov 28 16:12:20 CST 2021, time=2021-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072559, encodeId=2cd910e255916, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eouShoVRPZvFshog2V4Bs8JhDIybaiaNUp16CYicwfDeRB6KoOUPj3fibYhRSsWDJ2LGJM8fFQVIrdnQ/132, createdBy=f44f2325690, createdName=苏新攀, createdTime=Sun Nov 21 17:21:33 CST 2021, time=2021-11-21, status=1, ipAttribution=)]
    2021-11-21 苏新攀

    学习一下

    0

相关指南

NICE指南：静脉血栓栓塞性疾病：诊断，管理和血栓形成性检查

国家卫生和护理研究所（NICE） · 2020-02-21

Baidu
map
Baidu
map
Baidu
map