产科急性DIC的诊断与治疗  

Diagnosis and treatment of obstetric acute DIC

作　　者：金荷照 

机构地区：[1]浙江省诸暨市中医院,311800

出　　处：《中国妇幼保健》2010年第6期756-757,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨产科急性DIC的临床特点及诊断治疗方法。方法:回顾性分析12例产科急性DIC患者资料,根据诱发DIC的发病诱因、临床表现及实验室检查,早期诊断,积极治疗,对无法控制的阴道出血果断切除子宫。结果:10例抢救成功,2例失败(患者死亡)。结论:早期诊断,尽早去除诱发产科急性DIC的原发病因,阻断促凝物质继续进入母血循环是抢救成功的关键。根据DIC病情适时、适量使用肝素。对抢救后阴道仍出血不止者应果断切除子宫。Objective： To explore the clinical characteristics, diagnosis and treatment of obstetric acute DIC. Methods： Clinical data of 12 cases with obstetric acute DIC were analyzed retrospectively, early diagnosis and treatment were carried out according to predisposing factors, clinical manifestations and laboratory examination results, for the eases with uncontrolled vaginal bleeding, hysterectomy was carried out. Results： 10 cases were saved successfully and the other two cases were dead. Conclusion： The key of successful rescue includes early diagnosis, remove of predisposing factors and prevention of procoagnlant factors into maternal circulation. Appropriate heparin can be used according to severe grades of DIC, for the cases with uncontrolled vaginal bleeding, hysterectomy can be carried out.

关 键 词：产科 DIC 失血性休克 肝素 

分 类 号：R714.4[医药卫生—妇产科学]