【摘要】 目的探讨成分输血在抢救产科弥漫性血管内凝血(disseminated intravascular coagulation,DIC)患者中的作用。方法参照DIC诊断标准、治疗原则和成分输血方案,分析18例产科DIC患者经监测凝血功能,合理输注悬浮红细胞、单采血小板、新鲜冰冻血浆、冷沉淀等成分血制品,并使用小剂量肝素的综合治疗的效果。结果应用成分输血后,患者的血小板计数和凝血功能指标均有所提升。结论成分输血在抢救DIC时具有重要作用。早期输注成分血对去除病因,羸得抢救时间有一定的作用。去除病因后应用成分输血,疗效更为显著。更多还原

【Abstract】 Objective To explore the effection of component transfusion in rescuing pregnant woman and parturients with disseminated intravascular coagulation(DIC).Methods Refer to diagnostic criteria of DIC,treatment principles and components transfusion protocol,18 cases of parturients with DIC were analyzed in coagulation tests and reasonable transfusion of blood components such as suspended red cells,pheresis platelets,fresh frozen plasma and cryoprecipitate.Infusion of small doses of heparin sodium was also used.Results Platelet count and coagulation function index of the patients were both improved.Conclusion Component transfusion is helpful in rescuing patients with DIC.Early component transfusions may play an active role in removing the causes and gaining rescuce time.After the removal of the causes of DIC,component transfusion has more obvious therapeutic effects in rescuing pregnant women and parturients with DIC.更多还原