产科急性DIC患者11例抢救的分析

Clinical analysis for 11 cases of acute DIC of obstetric

目的探讨产科急性弥散性血管内凝血(DIC)的早期诊断和有效的救治方法,降低DIC的死亡率。方法对11例产科急性DIC的临床资料进行回顾性分析。结果本组8例应用肝素给予抗凝治疗,子宫切除6例,纱布填塞压迫止血3例;治愈9例,死亡2例。结论加强孕期宣教、孕产妇系统管理、及早发现是预防产科DIC发生的重要环节。成分输血、补充大量的凝血因子、小剂量肝素的应用、及时果断地切除子宫是抢救产科DIC成功的有效方法。

Objective To investigate early diagnosis and effectual rescue methods in the acute DIC of obstetrics,reduce mortality of DIC.Methods Totally 11 cases clinical data of the acute DIC of obstetrics were analyzed retrospectively.Results The group of 8 cases were treated with nticoagulants.Hysterectomy were performed in 6 cases,ram gause pressure hemostasia 3 cases.9 cases were cured and 2 cases were died.Conclusions The important prevention obstetric DIC have 3 points：increasing gestational period education,gravida and parturient systematic manage,early discover.The effect method of successful emergency treatment of obstetric DIC have 4 point：component transfusion,interpolaty much of blood clotting factor,small dosage heparin’s use,cut hysterectomy in time and resolutely.