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妊娠期高血压疾病并发弥漫性血管内凝血的相关性分析
Hypertensive Disorder Complicating Pregnacy Complicated Disseminated Intravascular Coagulation:Clinical Analysis of 19 Cases
【摘要】 目的:探讨妊娠期高血压疾病与DIC的相关性,如何降低孕产妇及围产儿的死亡率。方法:对24年内19例患者的临床资料进行回顾性分析。结果:19例中子痫、重度子痫前期为14例。诱发因素为胎盘早剥10例,产后出血8例,羊水栓塞1例,孕产妇死亡率为21.05%,其中前12年为25%,后12年为14.29%,围产儿死亡率为36.84%,其中前12年为41.67%,后12年为28.57%。结论:妊娠期高血压疾病病情越严重发生DIC的比例越高,早诊断,早治疗可降低孕产妇及围产儿死亡率。
【Abstract】 Objective: To explore the relationship between hypertensive disorder complicating pregnacy and disseminated intravascular coagulation, and how to reduce the mortality of pregnant women and perinatal infants. Methods: Nineteen cases with hypertensive disorder complicating pregnacy complicated disseminated intravascular coagulation were analyzed retrospectively within twenty four years. Results: There were forteen cases of eclampsia and severe pre-eceplampsia in these cases.The induced causative factors were placental abruption (10 cases), postpartum hemorrhage(8 cases), and amniotic fluid embolism(1 case). The mortality of mothers was 21.05%, and 25% of them were within early twelve years with 14.29% after twelve years.The mortality of perinatal infants was 36.84% with 41.67% within early tewelve years and 28.57% after twelve years. Conclusion: There were the more DIC cases in the more serious cases of the disease.The early diagnosis and treatment could reduce the mortality of pregnant women and perinatal infants.
【Key words】 Pregnany Induced Hypertension Complicated; Disseminated intravascular coagulation; Relationship;
- 【文献出处】 江苏大学学报(医学版) ,Journal of Zhenjiang Medical College , 编辑部邮箱 ,2005年02期
- 【分类号】R714.246
- 【被引频次】1
- 【下载频次】62