关键词: anticoagulation bleeding in pregnancy critical care obstetrics fetal surgery high-risk pregnancy intravenous thrombolytic therapy ivc thrombus massive pulmonary embolism pulmonary embolism therapeutic anticoagulation

来  源:   DOI:10.7759/cureus.54607   PDF(Pubmed)

Abstract:
A 33-year-old gravidity three parity three (G3P3) woman at 34 weeks of pregnancy underwent fetal surgery to repair an open lumbosacral myelomeningocele at 22 weeks gestation and experienced preterm premature rupture of membranes as a result. She developed a saddle pulmonary embolus with signs of right heart strain while on prolonged bed rest. She was treated emergently with aspiration thrombectomy and suprarenal inferior vena cava (IVC) filter placement, followed by an uncomplicated cesarean delivery thereafter.
摘要:
一名33岁的妊娠三胎三胎(G3P3)妇女在妊娠34周时接受了胎儿手术,以修复妊娠22周时的开放性腰骶骨脊髓膜膨出,结果经历了早产胎膜早破。她在长时间卧床休息时出现了鞍状肺栓塞,有右心劳损的迹象。她紧急接受了抽吸血栓切除术和肾上下腔静脉(IVC)过滤器放置,随后进行简单的剖宫产。
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