多学科联合救治产科DIC56例临床经验探讨

目的探讨多学科联合救治产科DIC的方法,从而降低产科DIC患者的死亡率。方法对2008年10月～2011年10月入住的56例产科DIC患者的临床资料进行回顾性分析。结果 DIC的发病原因依次为:产后出血、前置胎盘、重度子痫前期或子痫、胎盘早剥、死胎、妊娠合并肝病、羊水栓塞、妊娠合并血液病等。其中成功抢救50例,死亡6例,12例行子宫切除术。结论加强多学科联合救治产科DIC,积极防治多器官功能衰竭,能很大程度提高DIC抢救的成功率,有效降低孕产妇死亡率。

Objective To investigate the experience of multidisciplinary united treatment of obstetric DIC,and then to decrease the mortality of obstetric DIC.Methods A retrospective analysis was made to the clinical data of 56 cases with obstetric DIC,who were rescued in Hengyang Central Hospital form October 2008 to October 2011.Results The cause of obstetric DIC is as follows：postpartum hemorrhage,placenta previa,severe preeclampsia or eclampsia,placental abruption,stillbirth,pregnancy with liver disease,amniotic fluid embolization,pregnancy associated with blood disease,etc.50 patients were rescued successfully and 6 patients dead.12 patients were administrated hysterectomy.Conclusion Strengthen multidisciplinary united treatment of obstetric DIC and prevent multiple organ failure actively can greatly improve the rescue-rate of obstetric DIC,and effectively reduce maternal mortality.