Diagnostik und Therapie venöser Thromboembolien in der Schwangerschaft und Postpartalperiode

E. Randrianarisoa; H. Abele; B. Balletshofer

doi:10.12687/phleb2163-6-2013

Phlebologie, Table of Contents

Phlebologie 2013; 42(06): 315-321
DOI: 10.12687/phleb2163-6-2013

Übersichtsarbeit

Schattauer GmbH

Diagnostik und Therapie venöser Thromboembolien in der Schwangerschaft und Postpartalperiode

Article in several languages: deutsch | English

Authors

E. Randrianarisoa

¹Department of Internal Medicine, Division of Endocrinology, Diabetology, Angiology, Nephrology and Clinical Chemistry, University of Tuebingen, Germany
H. Abele

²Department of Gynecology and Obstetrics, University of Tuebingen, Germany
B. Balletshofer

¹Department of Internal Medicine, Division of Endocrinology, Diabetology, Angiology, Nephrology and Clinical Chemistry, University of Tuebingen, Germany

Abstract

Zusammenfassung

Das Auftreten sowohl der tiefen Beinvenenthrombose als auch einer Lungenarterienembolie wird bereits durch physiologische Mechanismen in der Schwangerschaft und im Wochenbett begünstigt. Es kommt neben vorbestehenden Risikofaktoren zu transienten Erscheinungen, die das Risiko für venöse thromboembolische Erkrankungen erhöhen. Die Klinik von Thromboembolien ist oft unspezifisch. Erprobte Diagnosealgorithmen bestehen in der Schwangerschaft nicht. Aufgrund der klinischen Relevanz ist jedoch eine Diagnosesicherung unerlässlich. Die Anamnese, Klinik und Labordiagnostik sind wesentliche Bestandteile in der Diagnosefin-dung, können aber alleine eine venöse Thromboembolie nicht ausschließen. Eine apparative Beurteilung der betroffenen Venen durch die Sonographie ist dabei die Untersuchungsmethode der Wahl. Die vorliegende Arbeit beschreibt die Diagnostik und Therapie venöser Thromboembolien in der Schwangerschaft.

Schlüsselwörter

Thrombose - Lungenarterienembolie - Thromboembolie - Schwangerschaft

Full Text

References

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