【摘要】 目的 :探讨产科DIC的诊治策略。方法 :对医院 1995～ 2 0 0 4年产科DIC12例临床资料进行回顾性分析。结果 :① 12例产科DIC中 ,11例抢救成功 ,1例死亡 ;剖宫产 10例 ,子宫切除 2例 ;围产儿 10例 ,死亡 3例。②产科DIC的诱发因素是 :前置胎盘 4例 ,占 33 3% ;胎盘早剥 3例 ,占 2 5 0 % ;中、重度妊高症 3例 ,占2 5 0 % ;利凡诺引产 2例 ,占 16 7% ;羊水栓塞 1例 ,占 8 3%。结论 :诊治DIC的关键是早期诊断 ,积极处理原发病 ,快速抗休克、改善微循环、补充新鲜血和血浆凝血因子 ,适当运用肝素。更多还原

【Abstract】 Objective:To discuss the strategy for diagnosis and treatment of obstetric Disseminated Intravascular Coagulation (DIC).Method:Review the clinical information of 12 DIC cases in our hospital since 1995.Results:①11 patients were succeed salvaged and 1 died;10 cesarian sections and 2 hysterectomy at the same time.In the 10 fetus,7 survive and 3 died;②Risk Factors induced DIC:4 placenta previa,3 placenta abruption,3 hypertensive disorder complicating pregnancy,2 Rifanor for labor induction,1 amniotic fluid embolism.Conclusions:The crilical measure for diagnosis and treatment of obstetric DIC is early diagnose,manage the underlying diseases,antishock procedure,improve the mico circulation,supply fresh blood,plasma and suitable apply heparin.更多还原