PDF(Pubmed)
Abstract：
This report details cases of uterine fibroid-associated deep vein thrombosis leading to massive pulmonary embolism, as well as the likely associated physiology. Two women, aged 33 and 37, presented with fibroid-associated pulmonary embolism. They both had large uterine sizes and no underlying thrombophilia. Case 1 had an uncomplicated course, whereas Case 2 had a course complicated by cardiac arrest and prolonged recovery. The presence of fibroids enhances coagulation and platelet adhesion. Mechanical compression also plays a role in predisposing to thrombosis. There may be a role for preoperative screening, especially in those with an elevated estimated uterine weight.
摘要：
本报告详述了子宫肌瘤相关深静脉血栓形成导致大量肺栓塞的病例。以及可能相关的生理学。两个女人,年龄分别为33岁和37岁，伴有纤维样相关性肺栓塞。他们都有大的子宫大小，没有潜在的血栓形成倾向。案例1有一个简单的过程，而病例2的过程复杂，心脏骤停和恢复时间延长。肌瘤的存在增强了凝血和血小板粘附。机械压迫在诱发血栓形成方面也起作用。术前筛查可能有作用，尤其是那些估计子宫重量升高的人。
