产科重症DIC的诊断和治疗分析.doc

产科重症DIC的诊断和治疗分析
张毅雪李緖刚
[摘要]目的:分析产科重症DIC(弥散性血管内凝血)的临床诊断及治疗方法。方法:回顾2011年12月~2013年10月我院产科收治的重症DIC患者20例,在积极治疗原发病的基础上给予全部患者抗休克、输液、输血、改善微循环等治疗措施,统计治疗效果,从中总结产科重症DIC的诊疗体会,为提高临床抢救成功率提供理论依据。结果:18例患者抢救成功,抢救成功率为90%;17例新生儿健康存活,3例胎儿入院前因胎盘早剥死于宫内。结论:产科重症DIC发病急、病情凶险、病死率高,早诊断、早治疗,可提高生存率,延长患者生存时间。
[关键词]产科重症DIC 诊断治疗
The Clinical Diagnosis and Treatment of Critical Obstetric DIC
Zhang Yixue, Li Xugang
Abstract: Objective To analyze the clinical diagnosis and treatment of critical obstetric DIC (disseminated intravascular coagulation). Methods A number of 20 patients with severe DIC admitted from December 2011 to October 2013 in our hospital were given anti-shock treatment, infusion, blood transfusion, microcirculation improvement on the basis of actively treating the primary disease. The treatment effects were studied to summarize the diagnosis and treatment of critical obstetric DIC, providing theoretical basis for improving the clinical ess rate of rescue. Results 18 patients were rescued essfully, with a rescue ess rate 90%; 17 cases of newborn were healthily alive, and 3 cases of fetal death due to placental abruption prior to admission. Conclusion Obstetrics severe e on urgent, dangerous conditions, with high fatality rate. Early diagnosis and early treatment can improve survival rate and prolong survival time.
Key words: maternity; severe DIC; diagnosis; treatment
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