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孕妇凝血功能检测的临床意义
引用本文:万波,鞠文东,王冬娥,蔡春芳.孕妇凝血功能检测的临床意义[J].中国妇幼保健,2007,22(31):4383-4384.
作者姓名:万波  鞠文东  王冬娥  蔡春芳
作者单位:1. 广东省中山市博爱医院妇产科,528403
2. 中山市博爱医院血液科
3. 中山市博爱医院检验科
基金项目:广东省中山市科研项目;广东省卫生厅科研项目
摘    要:目的:研究凝血因子Ⅷ活性(Ⅷ:C)、纤维蛋白原(FIB)、D-二聚体(D-D)、凝血因子Ⅴ活性4项血凝指标在妊娠中的变化,探讨其在DIC诊断和预防中的价值。方法:凝血因子Ⅷ活性(Ⅷ:C)、纤维蛋白原含量(FIB)、血浆D-二聚体(D-D)、凝血因子Ⅴ活性测定共3815例(正常非孕妇女314例,正常孕妇3121例,其中DIC患者16例)。结果:DIC和正常孕妇与正常非孕妇女凝血因子Ⅷ活性(Ⅷ:C)、凝血因子Ⅴ差异有统计学意义(P<0.05);FIB、D-D正常孕妇均明显高于正常非孕妇女(P<0.05),并且DIC明显高于正常孕妇(P<0.001)。结论:产前凝血功能检测对预防和治疗DIC的发生和发展有着重要意义。

关 键 词:DIC  凝血因子Ⅴ  凝血因子Ⅷ  纤维蛋白原  D-二聚体
文章编号:1001-4411(2007)31-4383-02
修稿时间:2006-05-26

Clinical significance of examination of coagulation function in pregnant women
WAN Bo, JU Wen - Dong , WANG Dong,et al..Clinical significance of examination of coagulation function in pregnant women[J].Maternal and Child Health Care of China,2007,22(31):4383-4384.
Authors:WAN Bo  JU Wen - Dong  WANG Dong  
Institution:Zhongshan Boai Hospital, Zhongshan 528403, China
Abstract:Objective:To study the level and clinical significance of factor Ⅷ,fibrinogen and D-dimer in pregnancy.Methods:16 women with DIC,3 815 normal pregnancy and 314 non-pregnancy women were studied.Results:Factor Ⅷ,fibrinogen and D-dimer activities of women with DIC of pregnancy and normal pregnancy were lower than that of non-pregnancy women (P<0.05).Fibrinogen and D-dimer with non-pregnancy women were significantly lower than that of DIC of pregnancy and normal pregnancy.Conclusion:Ante natal examination of coagulation function of high value in prevention and treatment of DIC of pregnancy.
Keywords:DIC
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