产科DIC的诊断与治疗(附43例分析)  

Dingnosis and Treatment of DIC in Obsterics, Analysis of 43 cases

作　　者：陈韵仙[1] 瞿全新[1] 辛玉英[1] 

机构地区：[1]天津医学院附属医院妇产科,300052

出　　处：《天津医药》1992年第9期535-537,共3页Tianjin Medical Journal

摘　　要：本文分析我院产科20年间(1971～1990)住院孕产妇中发生的DIC 43例(0.10％)。诊断主要依据:(1)有诱发DIC的病史,包括重度妊高征,重型胎盘早剥,产后失血性休克,重症肝炎,羊水栓塞等。(2)多部位出血或产后阴道出血不凝结。(3)有重要脏器栓塞症状如肾、肺和心功衰竭。(4)化验检查有不同程度凝血因子减少和纤溶亢进表现经疏通微循环、补充血容量和凝血因子,33例(76.74％)治愈,10例(23.26％)死亡。本文认为防治产科DIC首先应加强对高危妊娠的管理,积极防止并发症,发现DIC应去除病因,纠正休克,保护脏器功能是抢救的关键。Forty-three cases of DIC were encountered during the twenty year period(1971～1990) in department of obsterics of this hospital, with an incidence of 0.1%. Thediagnosis was established mainly on (1) history of predisposing factors of DIC, in-cluding preeclampsia, postpartum haemorrhage with shock, severe hepatitis and amnioticfluid embolism; (2) bleeding from multiple sites or postpartum haemorrhage withoutcoltting; (3) symptome of visceral embolism, such as the kidney, lung, heart, etc; (4)laboratory evidences of coagulation defect or fibrinolysis. With improving micro-circulation and maintaining blood volum and acid-basebalance, anticoagulants and antishock treatment, thirty-three patients(76.74%)werecured, and ten (23.26%) died. It was shown that intensive care for high risk pregnan-cies and active treatment for the complications were very important in obstetric DIC.

关 键 词：妊娠合并症 血管内凝血 弥漫性 

分 类 号：R714.25[医药卫生—妇产科学]