【摘要】 目的探讨产科急性弥漫性血管内凝血(DIC)的病因、临床特点和护理要点。方法对本院2005年1月至2009年10月发生的25例产科急性DIC进回顾性分析,总结。结果产科急性DIC的发病诱因是重度妊高征、胎盘早剥、羊水栓塞、死胎等;做到早期诊断,及时治疗和护理是抢救成功的关键。孕产妇抢救成功32例,死亡3例,肝素使用率及剖宫产率较高。结论产科急性DIC发病急骤、病势凶险、死亡率高,要重视主要病因的预防,实验检查结果的动态监测,早期诊断、祛除诱因、合理治疗和精心护理可显著降低死亡率。更多还原

【Abstract】 Objective To explore the cause, clinical characteristic and main point of nursing of obstetric diffusive disseminated intravascular coagulopathy (DIC). Method Reviewing analysis and conclusion were made on twenty-five DIC cases occurred from Jan. 2005 to Dec. 2009. Result Inducements of obstetric DIC are pregnancy-induced hypertension syndrome,placent abruption, amniotic fluid embolism and fetal death. The keypoint to successful rescue is proficiency in inducement, early clinical manifestation, laboratory feature, suitable treatment and nursing of diffusive DIC. 22 maternal cases have successful rescued and 3 failed with high disebrin usage and cesarean delivery. Conclusion Obstetric diffusive DIC occur suddenly and dangerously with high mortality rate. Attention should be focused on prevention ofinducement, dynamic monitoring of laboratory results, early diagnoses and inducement removed. Early treatment and nursing can markedly decrease the death rate.更多还原