【摘要】 目的:探讨产科急性弥漫性血管内凝血(DIC)的诊断和治疗方法以降低其死亡率。方法:对我院1995～2005年间产科急性DIC资料进行回顾性分析。结果:①1995～2005年间我院共发生产科急性DIC37例,发病率为0.2%。其中35例抢救成功,2例死亡;②早期诊断,积极治疗原发病,及时去除病因,抗休克,补充血容量,选择性使用肝素是成功抢救产科急性DIC的关键措施。结论:产科急性DIC救治中,重视胎盘早剥、前置胎盘及产后出血等原发病的防治,早期诊断,正确规范治疗,可进一步降低该病死亡率。更多还原

【Abstract】 Objective:To investigate optimal approaches of diagnosis and management of acute disseminated intravascular coagulation (DIC) due to obstetric factors.Methods:A retrospective study was carried out in which all obstetric cases diagnosed with acute DIC during 1995~2005 were recruited in this hospital.Results:37 pregnant women were diagnosed with acute DIC during 1995~2005 in this hospital with the morbidity of 0.2%.Among them, 35 cases survived with appropriate and prompt treatment while 2 cases were dead. Key steps for acute DIC of obstetric patients included early diagnosis, successful management of primary diseases to eliminate causes, measures of anti-shock and blood or fluid replacement, and proper administration of anticoagulants.Conclusion:To further reduce mortality of acute DIC of obstetric patients, prevention and treatment of primary diseases should be focused on such as placental abruption, placental previa, and postpartum hemorrhage, and early diagnosis and proper managements are necessary.更多还原