产科急性DIC31例临床分析  

Clinical Analysis of 31 Cases with Obstetric Disseminated Intravascnlar Coagulation

作　　者：阮焱[1] 张为远[1] 

机构地区：[1]首都医科大学附属北京妇产医院,100026

出　　处：《中国临床实用医学》2009年第9期15-16,共2页China Clinical Practical Medicine

摘　　要：目的探讨产科弥漫性血管内疑血（DIC）的病因及治疗。方法对31例产科DIC患者的临床资料进行回顾性分析。结果31例产科DIC患者中有29例抢救成功，痊愈出院，2例死亡。13例行子宫切除。结论重视产后出血、重度子痫前期等原发病的防治，早期诊断，及时去除病因，抗休克，补充血容量、及时补充凝血因子、果断行子宫切除术是产科DIC治疗的关键。Objective Discuss the etiology and treatment of obstetric disseminated intravascular coagulation. Methods The clinic materials of 31 patients with obstetric disseminated intravascular coagulation were analyzed retrospectively. Results 29 patients with obstetric disseminated intravascular coagulation were cured and leaved hospital. 2case was dead. 13 cases were hysterectomy. Conclusion Prevention and treatment of primary diseases should be focused on such as postpartum hemorrhage and severe pre-eclampsia, the critical treatment of obstetric DIC consists of early diagnosis of DIC, elimination of the cause promptly, anti-shock, suppler ment coagulation factors in time and the application of hysterectomy decidedly.

关 键 词：弥散性血管内凝血 产科 治疗 

分 类 号：R714[医药卫生—妇产科学]