产科相关性弥散性血管内凝血临床分析

Clinical analysis of disseminted intravascular coagulation obstetric relationship

目的：探讨本地区产科弥散性血管内凝血（DIC）的诊治现状,总结经验教训,提高治愈率。方法：对我院2002～2006年53例产科相关性DIC进行回顾性分析,并按其转归分为两组进行比较,A组（n=10）经治疗无效死亡者;B组（n=43）经治疗治愈出院者。就病因特点、逆转时机、实验室检查和治疗方法等进行比较。结果：两组病人在职业、就医条件、分娩方式、诊治时机和方法上存在差异（P〈0.01）。结论：提高孕产妇及家人的自我保健意识,加强围产期保健,提高基层医院的诊疗水平,积极预防和治疗原发病,正确、及时处理DIC,是减少产科弥散性血管内凝血的发生和致死的关键措施。

Objective：The aim is inquiry into native area obstetrics to spread make a diagnesis and give treatment of disseminated intravaseular coagulation（DIC） and tally up experience precept and raise a cure rate. Methods：In 2002 - 2006 years 53 patients obstetric relativity DIC which accept to cure carry on analysis, and press it to turn to return to is divided into 2 sets to carry on a cemparisen, A set （ n = 10 ） through cure an invalid death; The B set （ n = 43 ） is through the treatment one who cure hospital discharge. Cause of disease characteristics, converse opportune moment, laboratory cheek and treatment method＇s etc. To carry on an investigation and comparlson.Results： Two sets of patient＇s incumbency industries, cure a condition, give birth to baby a way and make a diagnosis and give treatment opportune moment and method up exist difference （ p 〈 0.01 ）. Conclsuion： Raise the diagnosis and treatment level of 87ass - roots hospital, aggressive prevention and treatment to be taken bad at in＇st, exactitude, handle DIC in time, reduce obstetrics disseminated intravascular coagulation of occurrrence and cause death.