肝素治疗妇产科弥漫性血管内凝血的探讨

Investigation of use of heparin for prevention and treatment of disseminated intravascular coagulation in patients with obstetrical diseases

目的探讨肝索在妇产科弥漫性血管内凝血中的应用。救的18例弥漫性血管内凝血的病例资料进行回顾分析和总结。结果痫前期。使用肝素后，抢救成功率为94．44％。死亡率为5．56％。结论做到早期诊断，正确治疗，可显著降低死亡率。方法选择本院20001年1月-2005年3月间收治并抢导致弥漫性血管内凝血的主要原因产后出血。其次是子妇产科急性弥漫性血管内凝血发病急骤，病势凶险。

Objective To investigate use of heparin for prevention and treatment of disseminated intravascular coagulation （DIC） in patients with gynecological and obstetrical diseases. Methods The clinical data of 18 patients with DIC hospitalized and rescued over a period from January, 200Oto March, 2005 were analyzed retrospectively. Results The main cause of DIC was postpartum hemorrhage, the second cause was pre - eclampsia. In heparin treatment group, the success rate was 94. 44% and the death rate was 5.56%. Conclusion The acute DIC in gynecology and obstetrics occurs urgently, the patient＇s condition is perilous. But the death rate can be decreased if the patient with DIC is diagnosed earlier and treated correctly.