16例产后出血并发弥漫性血管内凝血的治疗  

The Diagnosis and Treatment of Postpartum Hemorrhage Complicate Disseminated Intravascular Coagulation

作　　者：彭晓鹰[1] 胡峥[1] 侍庆[2] 

机构地区：[1]上海瑞金医院集团闵行医院妇产科,上海201100 [2]上海第二医科大学附属瑞金医院妇产科,上海200025

出　　处：《中国临床医学》2006年第2期253-254,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨产后出血并发弥漫性血管内凝血(DIC)的诊断和治疗。方法:对2000年1月～2005年12月间治疗的16 例产后大出血并发DIC病例进行分析。结果:16例产后出血并发DIC的患者中抢救成功14例,2例抢救后因并发多脏器功能衰竭而死亡。结论:积极治疗产后出血,对DIC早诊断,早治疗,祛除病因,果断切除子宫,积极补充凝血因子．慎重使用肝素是抢救成功的关键。Objective： To discuss the diagnosis and treatment of postpartum hemo-rrhage complicate disseminated intravascular coagulation （DIC）. Methods： Retrosp-ectively analysis 16 cases postpartum hemorrhage complicate DIC from Jan 2000 to Dec 2005. Results： 14 cases was successfully survive, and 2 cases finally deat-h because of multiple system organ failure. Conclusion： The emergency management of postpartum hemorrhage, early diagnosis and treatment for DIC, cutting the causes, hysterectomy timely, supplying coagulation factors, and using heparin care-fullyare important to successfully survive.

关 键 词：产后出血 弥漫性血管内凝血 

分 类 号：R554.8[医药卫生—血液循环系统疾病] R714.461[医药卫生—内科学]