胎盘早剥合并弥散性血管内凝血的诊治

胎盘早剥是妊娠晚期产科急症之一,并发子宫胎盘卒中、DIC、产后出血、急性肾功能衰竭,严重威胁孕产妇及胎儿的生命安全。胎盘早剥的发生率在国外为1%~2%,国内为0.46%~2.1%,其中胎盘早剥合并弥散性血管内凝血是产科凝血功能障碍最常见原因,一旦发生母儿死亡率极高,且胎盘早剥引起DIC的临床经过及其治疗与其它原因引起的DIC有所不同,所以早期诊断及合理治疗对减少母婴死亡率极其重要。本文就胎盘早剥合并弥散性血管内凝血后的诊断和治疗作一简要综述。

The Diagnosis and Treatment of Placental Abruption Merged with Disseminated Intravascular Coagulation

Placental abruption is one of the obstetric emergencies in late pregnancy, merged with uteroplacental apoplexy, disseminated intravascular coagulation (DIC), postpartum hemorrhage, acute renal failure, seriously threatening the life safety of maternal and fetal. The incidence of placental abruption in foreign countries is 1% to 2%, but the domestic incidence is 0.46% to 2.1%. Placental abruption mergered with DIC is the most common cause in obstetric coagulation disorders, with high mortality of the mother and child. As the clinical course and treatment of DIC caused by placental abruption is different from DIC caused by other causes, early diagnosis and reasonable treatment is extremely important to reduce infant and maternal mortality. This paper is a brief summary for the diagnosis and treatment of placental abruption mergerd with disseminated intravascular coagulation.