产科弥漫性血管内凝血8例临床分析

目的 :分析 8例DIC患者 ,以期减少DIC的发生 ,降低孕产妇的死亡率。方法 :研究DIC患者的临床表现、诊断及处理。结果 :8例DIC患者中治愈 5例 ,占 6 2 .5 % ,死亡 3例 ,占 37.5 %。诱发因素 :羊水栓塞 ,重度妊娠高血压综合征 ,出血性休克 ,胎盘因素。在积极治疗去除诱发因素的基础上早期合理应用肝素或低分子量肝素 ,抗休克 ,补充凝血因子 ,对难以抢救的大出血及时切除子宫。结论 :早期诊断 ,去除病因 ,及时治疗 ,是提高治愈率的关键

Disseminated intravascular coagulation in obstetrics:clinical analysis of 8 cases

Objective:To analyze 8 cases complicated disseminated intravascular coagulation (DIC). in order to decrease rates of DIC and pregnant death. Methods: Clinical symptom, diagnosis and treatment of cases complicated DIC were studied. Results: 5 cases were cured (62.5%) and 3 cases died (37.5%). The causative factors of DIC were amniotic fluid embolism, severe pregnancy induced hypertension(PIH), bleeding shock, and placental abruption. Using heparin or low molecular weight heparin in early, antishock and supplementing coagulation factors shoule be done on the basis of extermination of above causative factors of DIC. Womb should be cut when bleeding could not be stanched. Conclusion : Early diagnosis, removing causative factors and treatment in time are the key of rising in rate of cure.