重度胎盘早剥合并DIC产妇的围术期麻醉抢救处理探讨  

Discussion on perioperative anesthesia rescue treatment for DIC parturients with severe placental abruption

作　　者：王仕红 李云龙 王华[2] WANG Shi-hong;LI Yun-long;WANG Hua(Department of Anesthesiology,Dongguan Hospital of Integrated Traditional Chinese and Western Medicine,Dongguan 523820,China)

机构地区：[1]东莞市中西医结合医院麻醉科,523820 [2]广州中医药大学附属清远市中医院,511500

出　　处：《中国实用医药》2023年第4期162-164,共3页China Practical Medicine

摘　　要：目的探讨重度胎盘早剥合并弥散性血管内凝血(DIC)产妇的围术期麻醉抢救处理方法和效果。方法10461例产妇,其中重度胎盘早剥合并DIC产妇6例(0.06%)。对6例重度胎盘早剥合并DIC产妇围术期麻醉抢救处理进行研究。评估记录术前、术中情况,术后进行随访。结果术前评估:重度胎盘早剥美国麻醉师协会(ASA)分级Ⅲ级25例,其中死胎3例。术中情况:重度胎盘早剥合并DIC产妇6例,其中死胎3例。术后随访:6例重度胎盘早剥合并DIC产妇全部治愈,无一例发生术后并发症。结论多学科协作(MDT)模式,快速超前干预,多措并举的规范化抢救处理方法,可提高胎盘早剥产妇手术安全。Objective To discuss the perioperative anesthesia rescue method and effect for disseminated intravascular coagulation(DIC)parturients with severe placental abruption.Methods Among the 10461 women with severe placental abruption,6 cases(0.06%)had severe placental abruption and DIC.The research further studied and analyzed the perioperative anesthesia treatment of 6 DIC parturients with severe placental abruption.The preoperative and intraoperative conditions were evaluated and recorded,and postoperative follow-up was performed.Results Preoperative evaluation:25 cases of severe placental abruption were in American Society of Anesthesiologists(ASA)gradeⅢ,including 3 cases of stillbirth.Intraoperative conditions:6 cases of DIC parturients were confirmed to have severe placental abruption,including 3 stillbirths.Postoperative followup:all the 6 cases of severe placental abruption with DIC were cured without any complications.Conclusion Standardized rescue processing method with multidisciplinary team(MDT),rapid and advanced intervention,and simultaneous multiple measures can improve the operative safety of parturients with placental abruption.

关 键 词：重度胎盘早剥 弥散性血管内凝血 围术期 麻醉 抢救处理 

分 类 号：R614[医药卫生—麻醉学]