产科急性弥漫性血管内凝血的诊断与治疗  

Diagnosis and Treatment of Acute Disseminated Intravascular Coagulation

作　　者：高玉莲[1] 孙凤群[1] 

机构地区：[1]航空总医院产科,北京100012

出　　处：《中国医药导刊》2015年第7期659-660,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨产科急性弥漫性血管内凝血(DIC)临床特点、救治方式。方法:回顾性分析38例产科DIC患者临床资料。结果:产科DIC发生与产科严重并发症(重度子痫前期、胎盘早剥、产后出血、羊水栓塞等)相关。38例患者抢救成功35例,死亡3例。结论:早期诊断,去除病因,治疗原发病,有效维持微循环及补充凝血因子,把握好子宫切除的时机是抢救DIC成功的关键。Objective： To investigate the clinical characteristics and treatment of acute disseminated intravascular coagulation（DIC） in obstetrics. Methods： Retrospective analysis of clinical data of 38 cases of DIC patients. Results： The occurrence of DIC was associated with severe obstetric complications（severe pre eclampsia, placental abruption, postpartum hemorrhage, amniotic fluid embolism, etc.）. 38 cases were rescued successfully in 35 cases, 3 cases died. Conclusions： Early diagnosis, removal of the cause of disease, treatment of the primary disease, effective maintenance of the microcirculation and supplementary coagulation factor, grasp the opportunity of hysterectomy is the key to the success of the rescue DIC.

关 键 词：产科 弥漫性血管内凝血 临床诊断 治疗措施 

分 类 号：R714.46[医药卫生—妇产科学]