产科DIC的诊治策略(附12例病案报告)

The Strategy for Diagnosis and Treatment of Obstetric DIC (12 Cases Report)

目的 :探讨产科DIC的诊治策略。方法 :对医院 1995～ 2 0 0 4年产科DIC12例临床资料进行回顾性分析。结果 :① 12例产科DIC中 ,11例抢救成功 ,1例死亡 ;剖宫产 10例 ,子宫切除 2例 ;围产儿 10例 ,死亡 3例。②产科DIC的诱发因素是 :前置胎盘 4例 ,占 33 3% ;胎盘早剥 3例 ,占 2 5 0 % ;中、重度妊高症 3例 ,占2 5 0 % ;利凡诺引产 2例 ,占 16 7% ;羊水栓塞 1例 ,占 8 3%。结论 :诊治DIC的关键是早期诊断 ,积极处理原发病 ,快速抗休克、改善微循环、补充新鲜血和血浆凝血因子 ,适当运用肝素。

Objective： To discuss the strategy. for diagnosis and treatment of obstetric Disseminated Intravascular Coagulation （DIC） . Method： Review the clinical informalion of 12 DIC cases in our hospital since 1995. Results： ①11 palients were succeed salvaged and 1 died; 10 cesarian sections and 2 hysterectomy at the same time. In the 10 fetus, 7 survive and 3 died;②Risk Factors induced DIC： 4 placenta previa, 3 placenta abruption, 3 hypertensive disorder complicating pregnancy, 2 Rifanor for labor induction, 1 amniotic fluid embolism. Conclusions： The crilical measure for diagnosis and treatment of obstetric DIC is early diagnose, manage the underlying diseases, antishock procedure, improve the mico cimulation, supply fresh blood, plasma and suitable apply heparin.