共查询到19条相似文献,搜索用时 111 毫秒
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目的:探讨产科DIC的临床特点及诊断治疗方法。方法:回顾性分析18例产科DIC,根据诱发DIC的原因,临床表现及实验室检查,早期诊断,及时治疗,去除病因,抗休克,适时适量运用肝素,补充凝血因子等治疗。对无法控制的出血果断切除子宫。结果:17例抢救成功,1例失败(患者死亡)。结论:早期诊断,尽早去除诱发产科DIC的病因,阻断促凝物质继续进入母血循环是抢救成功的关键。根据DIC病情适时、适量使用肝素,补充凝血因子。对抢救后出血不止者应果断切除子宫。 相似文献
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产科弥散性血管内凝血12例抢救及护理 总被引:1,自引:0,他引:1
程跃侠 《临床和实验医学杂志》2008,7(2):64-65
目的探讨产科弥散性血管内凝血(DIC)病因、临床特点、治疗及护理。方法对本院2002年1月至2006年12月12例患者发生产科急性DIC进行回顾性分析。结果产科DIC发病诱因为重度妊娠高血压综合征、羊水栓塞、产后出血、稽留流产等。祛除病因,扩容,止血,抗感染,维持内环境的稳定,合理使用肝素及凝血因子,高度警惕全身各脏器缺血性损害,精心护理是抢救DIC患者不可缺少的因素。11例抢救成功,1例因并发多脏器功能衰竭死亡。结论产科DIC发病急骤,来势凶猛,母婴病死率高,早期诊断,把握抢救及治疗时机,及时果断切除子宫,补充凝血因子,合理使用肝素,正确护理是抢救DIC成功的关键。 相似文献
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目的:探讨产科弥漫性血管内凝血(DIC)的诊断、治疗、抢救的方法。方法:回顾性分析在本院发生的33例产科DIC的资料。结果:33例产科DIC抢救成功29例,成功率87.9%。结论:早期正确诊断,及时去除诱因,适时结束分娩,及时切除子宫,合理应用肝素,输入大量新鲜血,补充凝血因子及抗纤溶药是治疗的关键。 相似文献
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姜丽华 《中国血液流变学杂志》2003,13(4):380-380,390
目的:探讨产科弥漫性血管内凝血(DIC)的诊治经验,提高产科DIC的诊治水平。方法:回顾性分析21例产科DIC的临床表现、实验室检查及诊治情况。结果:本组发生产科DIC 21例,占同期孕产妇的0.014%,给予积极去除病因、应用凝血因子及肝素,抢救成功17例,死亡4例。结论:早期诊断、快速去除病因——终止妊娠或切除子宫、大量补充凝血因子并辅以小剂量肝素是抢救产科DIC成功的关键。 相似文献
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目的探讨产科弥漫性血管内凝血(DIC)的早期诊断和治疗经验。方法回顾性分析广西中医学院第一附属医院收治的15例产科DIC的临床资料。结果 15例全部抢救存活。结论早期诊断,及时去除病因,迅速抗休克、补充凝血因子,合理使用抗凝剂,是抢救成功的关键。 相似文献
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目的报道3例不完全子宫破裂致产科DIC的临床资料。方法回顾性分析在本院发生的3冽产科DIC,根据诱发的病旧、临床症状及实验室检查,尽早做出诊断,积极治疗原发病,去除病因,抗休克,补充血容量,纠正酸中毒,适当使用肝素等抗凝治疗,在此基础上输入血浆,补充凝血因子及抗纤溶药物,对无法控制的阴道出血,以手术切除子宫。结果2例治愈,1例死亡。结论早期正确诊断,尽早去除病因,阻断促凝物质继续进入母血循环,在产科方面尽快结束分娩,阴道分娩条件不成熟者,可行剖宫产术,产后出血不止应果断切除子宫,同时产科临床以大量出血为特点,在治疗原则上则以输入大量新鲜血及纤维蛋白为主,抢救患者的失血性休克,此时肝素应用要慎重。 相似文献
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目的探讨产后弥漫性血管内凝血(DIC)的早期诊断和及时救治方法。方法对2005年1月至2009年12月间救治的24例产后DIC病例进行回顾性分析。结果24例产后并发DIC患者17例抢救成功,7例死亡。结论积极治疗产后出血,对DIC早诊断、早治疗,祛除病因,合理使用肝素,积极补充凝血因子,适时果断切除子宫治疗原发病,早期阻断DIC的恶性病理循环,是抢救成功的关键。 相似文献
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产科急性弥散性血管内凝血的临床分析 总被引:1,自引:0,他引:1
目的探讨产科急性弥散性血管内凝血(DIC)的病因和治疗方案。方法回顾性分析16例产科急性DIC患者的临床资料,并复习相关文献。结果16例急性DIC患者中,2例死亡(12.50%),2例新生儿死亡(11.76%)(1例双胎)。剖宫产10例,子宫切除4例,其中2例剖宫产同时行子宫切除术。DIC促发因素:羊水栓塞(2例),胎盘早剥(2例),HELLP综合征(2例),流产(2例),产后出血(3例),子痫和先兆子痫(5例)。结论产科急性DIC是严重的产科合并症,必须早期诊断、早期治疗,关键是消除促发因素,同时纠正凝血功能。 相似文献
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目的:评价微量低分子肝素钙治疗严重创伤非显性DIC的疗效.方法:将44例严重创伤非显性DIC患者随机分为两组, 治疗组和对照组各22例.两组均采用综合治疗,治疗组早期加用低分子肝素钙,24 h用药量0.2~ 0.3 mg/(k g·d),连用3 d.比较两组伤口渗血发生率、DIC发生率及病死率,观察治疗组应用微量肝素前后BPC、PT、APTT变化情况.结果:与对照组比较,治疗组DIC发生率、病死率明显降低(P均<0.01),伤口渗血发生率减少(P<0.05);治疗组应用微量肝素后,BPC升高(P<0.05),APTT、PT差异无显著性(P>0.05).结论:应用低分子肝素钙能有效地防止严重创伤非显性DIC向DIC的发展,并能降低病死率. 相似文献
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目的探讨凝血及纤溶指标在弥散性血管内凝血(DIC)产妇中的临床应用价值。方法选择2009年1月至2012年8月收治的28例产科DIC产妇为观察对象,DIC患者治疗前和治疗后分别进行D-二聚体(DD)、纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)、血小板计数(PLT)的测定,并进行对比。结果28例发生DIC的产妇治疗前DD明显上升,FIB减少,APTT延长,PLT进行性下降,治疗后各指标明显改善,与治疗前比较,差异有统计学意义(P〈0.05)。结论动态检测D-D、FIB、APTT、PLT对产科DIC的诊治具有一定的意义,有助于临床诊断和监测患者预后。 相似文献
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We report on a man (age: 49 years), who died from severe meningococcal sepsis with disseminated intravascular coagulation (DIC), multiple organ dysfunction syndrome and extended skin necrosis. We discuss in detail the pathophysiology of the activation of coagulation and fibrinolysis during sepsis. The article discusses new therapeutic concepts in the treatment of disseminated intravascular coagulation in meningococcal sepsis, too. 相似文献
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Disseminated intravascular coagulation 总被引:2,自引:0,他引:2
RN MSBarbara Holmes Gobel Oncology Clinical Nurse Specialist 《Seminars in Oncology Nursing》1999,15(3):174-182
OBJECTIVES: To provide an overview of the pathophysiology, manifestations, diagnosis, and treatment of disseminated intravascular coagulation (DIC) as it occurs in cancer. DATA SOURCES: Published articles, research reports, and book chapters. CONCLUSIONS: The syndrome of DIC is a serious hypercoagulation state that in its acute form may be life-threatening. The hemorrhage and intravascular coagulation that occur with DIC may lead to irreversible morbidity and mortality. Prompt recognition and emergency treatment are necessary to help minimize morbidity and mortality. IMPLICATIONS FOR NURSING PRACTICE: Nurses can play an important role in early recognition of DIC to allow for prompt intervention. Nurses caring for patients affected by DIC will be providing complex nursing care, in addition to psychosocial support to patients and families. 相似文献
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The thromboplastic activity of amniotic fluid (AF) from women in labor may be a significant factor in amniotic fluid embolism (AFE) and obstetric disseminated intravascular coagulation (DIC). Infusion of AF from women in labor into laboratory animals was found to depress the platelet count, as seen in DIC. In this study we also investigated the ability of heparin and aspirin to block the thromboplastic activity and thrombocytopenia subsequent to AF infusion. In animals, heparin prophylaxis before infusion of AF prevented thrombocytopenia, whereas aspirin prophylaxis did not. Heparin prophylaxis may be useful in the management of coagulation defects associated with AFE and labor. 相似文献
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Jeleńska MM 《Hamostaseologie》2004,24(3):162-166
Clinically overt, preoperative, disseminated intravascular coagulation (DIC) is not common in patient with aortic aneurysm. However, cases with large and expanding aneurysm are especially prone for this coagulopathy. Contrary to the clinically overt form compensated DIC in patients with aortic aneurysm seems frequent and is probably underdiagnosed. The compensated DIC may be recognized, even without bleedings, by laboratory tests documenting the activated coagulation and fibrinolysis. We show that in about one third of patients with abdominal aorta aneurysm (AAA) compensated DIC can be identified. This enables the application of preoperative anticoagulation treatment to improve the intraoperative haemostasis. 相似文献
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