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Venøs tromboemboli under svangerskap

Sist revidert:
Sist revidert av:

Definisjon:
Dyp venetrombose (DVT) eller lungeemboli (LE) i svangerskap eller i puerperiet.
Forekomst:
Venøs trombose forekommer hyppigere i svangerskap med insidens ca. 1 per 2000 i svangerskapet, og ca. 1 per 700 kvinner de første 6 uker post partum
Symptomer:
DVT symptomer: hevelse og smerter i legg, økt omkrets, lokal rubor. LE-symptomer: tung pust, brystsmerte, ev. hoste og hemoptyse
Funn:
Hevelse og rubor i legg, lokal temperaturøkning. Ev. fremmedlyder over lungene ved LE
Diagnostikk:
Diagnosen DVT stilles ved ultralyd-undersøkelse, LE-diagnosen ved spiral CT
Behandling:
Lavmolekylært heparin (LMVH) i svangerskapet, LMVH eller warfarin i ammeperioden
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Per Bergsjø, professor emeritus, dr. med., Universitetet i Bergen. Spesialist i kvinnesykdommer og fødselshjelp, forsker ved Nasjonalt folkehelseinstitutt, Oslo