产科弥散性血管内凝血23例临床分析

目的探讨产科弥散性血管内凝血（DIC）的临床特征及早期诊断治疗方法。方法回顾性分析23例产科DIC患者的临床资料。结果23例患者均发病于孕晚期,以严重的阴道出血伴休克为主要临床表现,15例早期应用肝素治疗,全部抢救成功。结论积极防治孕晚期阴道出血,有可能降低产科DIC的发生;早期使用肝素综合治疗,可显著降低病死率。

Clinical analysis of 23 cases of DIC in obstetrics

Objective To investigate the clinical characteristic of DIC in obstetrics and explore the possibility of early diagnosis and treatment. Methods The clinical data of 23 cases of obstetrical DIC were analyzed retrospectively. Results All cases occurred during the third trimester of pregnancy mostly manifesting severely vaginal hemorrhage and shock, Fifteen cases were managed with early heparin and all cured. Conclusion Positive management of antepartune hemorrhage could decrease the occurrence of obstetrical DIC, and integrated intervention including early use of heparin may reduce its mortality rate.