TY - Jour A2 - Porporea，Maria Grazia Au - Mostajeran，Kathy Au - Boswell，希拉里Au - Haidar，Ziad Py - 2021Da - 2021/06/30 Ti - Systemic Thrombolis治疗产后出血并发术后的全身溶栓分析：a案例报告和简短的文献综述SP - 5553296 VL - 2021 AB - 静脉血栓栓塞事件（VTE），特别是肺栓塞，占孕产妇发病率和死亡率的重要部分。由于发生的促血管生理变化，怀孕和产后时期是血栓栓塞事件的已知风险因素。在前一周的产后风险是最大的，与普通人口相比，持续六周仍然高达六周。关于妊娠中发生巨大肺栓塞溶栓性的治疗指南并不明确。在不孕妇群中，众所周知，溶栓试剂可降低巨大肺栓塞中的死亡率。然而，在没有管理指导方针的情况下，怀孕的溶栓仍然是通过案例报告和案例系列的指导。我们提出了一种巨大的肺栓塞（PE），导致用组织纤溶酶原激活剂（TPA）处理的产后期间血液动力学不稳定性。随着Uterotonic甲基替换物的延迟后出血延迟，案件复杂化。患者在口服抗凝症上开始，并在没有复发的VTE中持续六个月。 Our case demonstrates a rare occurrence of a saddle embolism after a vaginal delivery within the first postpartum week which was successfully managed with the use of systemic thrombolysis and minimal intervention to manage the iatrogenic delayed postpartum hemorrhage. To the authors’ knowledge, no other similar case report exists. This case highlights the need to develop guidelines for the use of thrombolysis in mothers who present with massive pulmonary embolus and a noninvasive means to manage adverse bleeding events in the puerperium. SN - 2090-6684 UR - https://doi.org/10.1155/2021/5553296 DO - 10.1155/2021/5553296 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -