产后出血并发DIC救治24例的临床研究

Clinical Study on Rescuing 24 Cases of DIC Resulted from Postpartum Hemorrhage

目的:探讨产后出血并发DIC的预防措施和治疗方法,降低DIC发生率和病死率。方法:对收治的24例产后出血并发DIC病例救治过程进行回顾性分析,结果24例患者中抢救成功19例,3例患者由外院转入时已发展为DIC晚期并发多脏器功能衰竭,入院后数分钟死亡,1例合并重症肝炎并发肝昏迷死亡,1例前置胎盘,胎盘植入,产后大出血死亡。结论:及时去除病因,尽早足量输血并补充凝血因子是预防DIC的关键。早期诊断DIC、及时补充凝血因子,尽早选择性小剂量使用肝素适时切除子宫是抢救产科DIC的最有效方法。

Objective： To explore the preventive measures and therapeutic methods of treating DIC resulted from postpartum hemorrhage to decrease the incidence and fatality of DIC. Methods ： Retrospective analysis of 24 cases of DIC rescued in my department from Jan. 2003 to Jan. 2007. Results ： 19 Cases were rescued successfully, 3 eases were transferred from the other hospitals with multiple organ function failure and died in some minutes, and one case died of hepatic coma from serious hepatitis, and one cases of placenta praevia died of postpartum hemorrhage. Conclusion ： It is the key of preventing DIC that expelling pathogeny in time, transfusing enough blood as soon as possible and supplying blood coagulation factor. It is the most effective method that diagnosing DIC early, supplying blood coagulation factor in time, applying heparin selectively and small-dosely as soon as possible and removing uterus pat timing.