产科急性DIC的临床分析及护理要点

目的：探讨产科急性弥漫性血管内凝血(DIC)的病因、临床特点和护理要点。方法：对本院2001年1月至2003午10月发生的25例产科急性DIC进回顾性分析，总结、结果：产科急性DIC的发病诱因是重度妊高征、胎盘早剥、羊水栓塞、死胎等：做到早期诊断，及时治疗和护理是抢救成功的关键。孕产妇抢救成功22例，死亡3例，肝素使用率及剖宫产率较高。结论：产科急性DIC发病急骤、病势凶险、死亡率高，要重视主要病因的预防，实验检查结果的动态监测，早期诊断、祛除诱因，合理治疗和精心护理可显著降低死亡率。

Clinical Analysis and Main Point of Nursing of Obstetric DIC

Objective: To explore the cause, clinical characteristic and main point of nursing of obstetric diffusive disseminated intravascular coagulopathy(DIC). Method: Reviewing analysis and conclusion were made on twenty-five DIC cases occurred from Jan. 2001 to Dec. 2003. Result: Inducements of obstetric DIC are pregnancy-induced hypertension syndrome,placent abruption, amniotic fluid embolism and fetal death. The key-point to successful rescue is proficiency in inducement, early clinical manifestation, laboratory feature, suitable treatment and nursing of diffusive DIC. 22 maternal cases have successful rescued and 3 failed with high disebrin usage and cesarean delivery. Conclusion: Obstetric diffusive DIC occur suddenly and dangerously with high mortality rate. Attention should be focused on prevention of inducement, dynamic monitoring of laboratory results, early diagnoses and inducement removed. Early treatment and nursing can markedly decrease the death rate.