[Diagnosis and treatment of pulmonary embolism during pregnancy].
OBJECTIVE
To study high risk factors, clinical presentation, diagnosis and treatment of pulmonary embolism (PE) during pregnancy and postpartum.


METHODS
Two patients with pulmonary embolism were reported retrospectively.


RESULTS
The 1st case was a pregnant woman with congenital heart disease at 39 weeks gestation, who underwent uneventful cesarean section (CS) because of heart disease, but she had tachycardia, tachypnea, cyanosis, dyspnea suddenly on the 10 days after CS and died immediately after the onset of above symptoms, the diagnosis of PE was highly suspected clinically. The 2nd case was a pregnant women with twin gestation, at 35 weeks, because of severe prenatal myocardiopathy, cesarean section was performed, Maternal death occurred suddenly during the surgery. The diagnosis of PE was confirmed by autopsy.


CONCLUSIONS
The maternal mortality of PE during pregnancy and postpartum is very high, whenever there is any suspects, the objective examination for PE should be started early in order to get the chance to give anticoagulant therapy.
Yang
J
J
Department of Obstetric and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
Feng
F
F
Gai
M
M
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009026:Mortality; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality; D012307:Risk Factors
D000925:Anticoagulants