成功救治产科DIC 38例

Successfully Rescuing for the DIC 38 Cases of the Obstetrical Disease

报道成功救治38例产科DIC的临产资料,发病诱因以妊高征、死胎,胎盘早剥多见。治疗上以病因治疗与肝素抗凝治疗为主,主张早期、小量,快速的肝素疗法,每日剂量不得超过50mg。积极抗休克,辅以输血及抗纤溶综合治疗措施,不失时机地切除子宫。

38 cases of obstetrics complicated with DIC were reported in this paper. The usual predisposing causes of the attack were hypertension of pregnancy, dead fetus and premature separation of placenta. Etilolgical treatment and anticoagulate by heparin are mainly taken in the treatment. Early stage, rapidly and a small amount of heparin was suggested to use. The dosage should less than 50 mg per day. The synthetical therapy including active an-tishock, blood transfusion and antifibrimolysm is also needed. Remove the uterus in time.