产科弥漫性血管内凝血9例分析  

Analysis of 9 Cases of Obstetrical Disseminated Intravascular Coagulation

作　　者：张灿华[1] 李勤[1] 林萍[1] 

机构地区：[1]昆明医学院第四附属医院妇产科,昆明650022

出　　处：《昆明医学院学报》2004年第2期89-91,共3页Journal of Kunming Medical College

摘　　要：目的 :探讨产科弥漫性血管内凝血 (DIC)的诊断和处理 .方法 :对 2 0 0 0年 1月至 2 0 0 3年 9月底期间诊治的 9例DIC患者的临床资料进行回顾性分析 .结果 :DIC的发生率为同期分娩人数的 0 1 7% .诱发因素依次为产后出血性休克、羊水栓塞、子痫抽搐及妊娠急性脂肪肝 .9例患者治愈 7例 ,死亡 2例 .结论 :产科急性DIC绝大部分发生在胎儿娩出后 ,且多发生在有并发症的孕产妇 .诊断根据诱发因素、临床特点及实验室检查确定 .Objective:To investigate early diagnosis of obstetrical disseminated intravascular coagulation(DIC).Methods:A retrospective analysis of obstetrical DIC treatment was based on 9 DIC cases from January 2000 to September 2003 in our department.Results:0.17% was the DIC rate in total parturient of the same duration.The inducing factors included hemorrhagic shock,amniotic fluid embolism,eclampsia,and pregnant acute fatty liver.Among the 9 cases,seven cases were cured and two patients died.Conclusions:Most obstetrical acute DIC occur in postpartum,especially for those with complication.The diagnosis depends on inducing factors,clinic manifestations and laboratory examinations.

关 键 词：诊断 DIC 产科 并发症 弥漫性血管内凝血 

分 类 号：R714.46[医药卫生—妇产科学]