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Don't be careless if you suddenly have chest tightness after delivery! Be careful it may be!

release time:2022-06-10|reading:

     产后突然胸闷别大意!小心可能是它!

      Sudden chest tightness after delivery, don't be careless!

  Postpartum has been in bed "confinement", suddenly feel chest tightness and chest pain, and even fainted.

  When this happens, do not be careless, or it may be an acute pulmonary embolism!

  What is acute pulmonary embolism?

  Acute pulmonary embolism is the third leading cause of death from cardiovascular disease worldwide, second only to coronary artery disease and stroke.

  It is a blood clot that is located in the lower limb or pelvic vein. It flows through the right atrium and ventricle to the pulmonary artery, blocking a large branch of the pulmonary artery, hindering pulmonary blood flow, and thus affecting the patient's respiratory and circulatory functions.

  Why can postpartum get acute pulmonary embolism?

  Acute pulmonary embolism is an important cause of maternal death. The incidence of acute pulmonary embolism during pregnancy has reached 1/6400. and the incidence after childbirth is 15 times higher than that before childbirth.

  During pregnancy, the uterus becomes larger and oppresses abdominal veins, blood system return is blocked, and varicose veins of lower limbs and pelvis; In addition, due to the lack of progesterone, the blood presents a hypercoagulable state, so we are prone to form a venous thrombosis in the lower limbs and pelvis; In addition, most of them stay in bed after delivery, which increases the risk of deep vein thrombosis and acute pulmonary embolism.

  How should acute pulmonary embolism be treated?

  Acute pulmonary embolism can be divided into high risk, medium risk and low risk levels.

  High risk means that pulmonary embolism is accompanied by hypotension and shock. Such patients often need to actively take thrombolytic treatment, that is, thrombolytic drugs are injected from the vein, and the pulmonary artery thrombus will dissolve.

  Because of the risk of bleeding complications, this treatment is not recommended unless it is life-threatening.

  It should be noted that pregnant women and those who need breastfeeding cannot use new oral anticoagulants.

  Although most acute pulmonary embolism can be alleviated within a week or so, it is still necessary to take oral medicine for at least 3 months to prevent recurrence of pulmonary embolism.

  Pregnant and lying in women should move their lower limbs more, especially after childbirth, they should walk more and not stay in bed all the time.


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