妇科失血性急腹症患者凝血功能障碍分析

Analysis on coagulation disorders in patients with gynecological abdominal emergency blood loss

目的探讨妇科失血性急腹症患者凝血功能障碍及相关的危险因素。方法选择在我院进行治疗的妇科失血性急腹症患者100例为研究对象,根据患者是否存在休克、低体温、酸中毒、低血红蛋白等情况进行相应分组,行患者凝血功能障碍相关的危险因素分析。结果休克组PT、APTT、TT时间显著长于非休克组(P<0.01或P<0.05)。低体温组PT、APTT、TT时间显著长于非低体温组(P<0.01或P<0.05)。酸中毒组PT、APTT、TT时间显著长于非酸中毒组(P<0.01或P<0.05)。低蛋白血症组PT、APTT、TT时间显著长于非低蛋白血症组(P<0.01或P<0.05)。结论对于妇科失血性急腹症患者,如果出现休克、酸中毒、低体温、低蛋白血症,患者更容易出现凝血功能障碍。

Objective To discuss coagulation disorders in patients with gynecological abdominal emergency blood loss. Methods Selected 100 cases with gynecological abdominal emergency blood loss. Correlative factors of coagulation disorders were analyzed. Results PT,APTT,TT of shock group were longer than non-shock group （P〈0.01 or P 〈0.05）. PT,APTT,TT of hypothermia group were longer than non- hypothermia group（P〈0.01 or P 〈0.05）. PT,APTT,TT of acidosis group were longer than nonacidosis group （P〈0.01 or P 〈0.05）. PT,APTT,TT of hypoalbuminemia group were longer than non-hypoalbuminemia group（P〈0.01 or P 〈0.05）. Conclusion Patients with gynecological abdominal emergency blood loss with shock, hypothermia, hypoalbuminemia, acidosis, hypoalbuminemia are prone to coagulation disorders.