分析临床产科患者凝血检验指标在弥漫性血管内凝血诊断中的价值

Analysis of clinical obstetric patients blood coagulation test index value in the diagnosis of disseminated intravascular coagulation

目的：深入探讨产科凝血检验指标在弥漫性血管内凝血（DIC）诊断中的价值。方法：选取我院产科于2012年11月至2014年10月期间收治的30例DIC患者为研究对象，另选取同一时间段内收取的30例顺产或剖腹产产妇为研究对照，采用回顾性分析的方式对两组患者凝血检验结果进行比较。两组产妇均在清晨空腹状态下抽取静脉血，109mmol／L枸椽酸钠1：9抗凝，2500rpm离心10min分层，取上层血浆，然后借助全自动血凝分析仪对凝血酶时间（TT）、活化部分凝血活酶时间（APTT）以及凝血酶原时间（PT）予以检测。结果：健康产妇的各种凝血相关时间缩短，DIC产妇在产前就已经出现凝血时间延长（P〈0．05）。结论：掌握DIC产妇的凝血检验指标能够有助于早期DIC诊断。

Objective： To investigate the obstetrical coagulation test indicators in diffuse intravascular coagulation （DIC） in the diagnosis of value, Methods： Choose fi＇om November 2012 to October 2010 in our hospital during the period of 30 cases of DIC patients as the research object, and select the other charged the same time period in 30 cases Shun estate or caesarean section maternal controls to explore, retrospective analysis of two groups of patients with coagulation test results are compared. The women in the two groups were in the fasting state venous blood, anticogulation 109mmol/L citric acid sodium citrate 1：9, 2500rpm 10min stratification, take the upper blood Pulp, then, with the help of a full automatic blood coagulation analyzer on the thrombin time （TT）, activated partial thromboplastin time （APTT）and prothrombin time（PT）. Results in healthy maternal coagulation related tO shorten the time, maternal with DIC in prenatal has emerged prolong the clotting time （P 〈 0.05）. Conclusion master DIC maternal coagulation test indicators can contribute to early diagnosis of DIC.