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目的探讨产科急性弥散性血管内凝血(DIC)的早期诊断和有效的救治方法,降低DIC的死亡率。方法对11例产科急性DIC的临床资料进行回顾性分析。结果本组8例应用肝素给予抗凝治疗,子宫切除6例,纱布填塞压迫止血3例;治愈9例,死亡2例。结论加强孕期宣教、孕产妇系统管理、及早发现是预防产科DIC发生的重要环节。成分输血、补充大量的凝血因子、小剂量肝素的应用、及时果断地切除子宫是抢救产科DIC成功的有效方法。
Objective To investigate the early diagnosis and effective treatment of obstetric acute disseminated intravascular coagulation (DIC) and to reduce the mortality of DIC. Methods The clinical data of 11 cases of obstetric acute DIC were analyzed retrospectively. Results The group of 8 patients received anticoagulant therapy with heparin. Hysterectomy was performed in 6 cases and gauze was packed in place to stop bleeding in 3 cases. 9 cases were cured and 2 died. Conclusion Strengthening pregnancy education, maternal system management, early detection is an important part of prevention of obstetric DIC. Components of blood transfusion, to add a large number of coagulation factors, the application of low-dose heparin, timely and decisive removal of the uterus is an effective method of rescue obstetric DIC success.