Vim li cas cov poj niam cev xeeb tub thiab tom qab yug me nyuam yuav tsum tau ua tib zoo saib xyuas cov kev hloov pauv ntawm cov ntshav txhaws? Ntu Ib


Tus Sau: Succeeder   

Qhov ua rau tus poj niam cev xeeb tub tuag tom qab muaj ntshav hauv nruab nrab, amniotic fluid embolism, pulmonary embolism, thrombosis, thrombocytopenia, thiab puerperidal infection yog tsib yam tseem ceeb tshaj plaws. Kev kuaj pom ntawm niam cov ntshav coagulation ua haujlwm tuaj yeem tiv thaiv tau lub hauv paus kev tshawb fawb ntawm DIC thiab thrombosis mob los ntawm kev ntshav tom qab yug menyuam thaum yug menyuam.

1. Kev los ntshav tom qab yug menyuam
Kev los ntshav tom qab yug menyuam yog ib qho ntawm cov ua rau muaj teeb meem ntawm kev yug menyuam tam sim no thiab yog cov ua rau cov poj niam cev xeeb tub tuag, thiab tus nqi ntawm kev tshwm sim yog 2% -3% ntawm tag nrho cov menyuam yug. Cov ua rau muaj kev los ntshav tom qab yug menyuam yog cov rog contraction, placenta factors, soft laceration ntawm laceration thiab coagulation dysfunction. Ntawm lawv, los ntshav los ntawm coagulation dysfunction feem ntau yog cov ntshav ntau uas nyuaj rau tswj. Essence PT, APTT, TT, thiab FIB yog cov kev sim tshuaj ntsuam uas feem ntau siv rau hauv plasma coagulation factor.

2. Kab mob Thromic
Vim yog cov yam ntxwv tshwj xeeb ntawm lub cev ntawm cov poj niam cev xeeb tub, cov ntshav sib koom ua ke thiab cov ntshav ntws qeeb. Cov poj niam cev xeeb tub laus dua thiab muaj kev pheej hmoo siab nce ntxiv. Kev pheej hmoo ntawm cov poj niam cev xeeb tub uas muaj thrombosis yog 4 txog 5 npaug ntawm cov poj niam uas tsis cev xeeb tub. Cov hlab ntsha. Tus kab mob thrombosis feem ntau yog cov hlab ntsha tob tob hauv cov ceg qis. Kev tuag ntawm pulmonary embolism los ntawm thrombosis yog siab txog 30%. Nws tau hem thawj rau kev nyab xeeb ntawm cov poj niam cev xeeb tub, yog li nws yog qhov tseem ceeb rau kev txheeb xyuas thiab kho cov hlab ntsha thrombosis thaum ntxov. Tshwj xeeb tshaj yog kev phais cesarean ntawm kev los ntshav tom qab yug menyuam lossis kev kis kab mob, lossis cov neeg mob uas muaj cov neeg mob xws li kev rog dhau, ntshav siab, kab mob autoimmune, kab mob plawv, kab mob sickle cell, cev xeeb tub ntau zaus, teeb meem ua ntej lossis teeb meem yug menyuam. Kev pheej hmoo ntawm kev thrombosis hauv cov hlab ntsha nce ntxiv ntau.