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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

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【作者】 沈亚杰

【Author】 SHEN Ya-jie(Department of Obstetric and Gynecology, the First Affiliated Hospital of Suzhou University, Suzhou Jiangsu 215000; the Affiliated People’s Hospital of Jiangsu University,Zhenjiang Jiangsu 212002,China)

【机构】 苏州大学附属第一医院妇产科 江苏苏州215000江苏大学附属人民医院妇产科江苏镇江212002

【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.

  • 【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
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