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目的探讨产后出血并发弥漫性血管内凝血的预防、救治方法及补液治疗的护理。方法回顾性分析2010年3月至2012年3月22例产后出血并发弥漫性血管内凝血的临床病例。结果 22例患者均抢救成功;16例行子宫全切或次切除术,6例保留完整子宫;宫缩乏力是产后出血并发弥漫性血管内凝血的首位危险因素。结论早期预防、识别DIC的发生、去除病因、及时补充血容量、积极有效的抢救配合是救治DIC的关键。
Objective To investigate the prevention, treatment and rehydration therapy of postpartum hemorrhage complicated by diffuse intravascular coagulation. Methods A retrospective analysis of March 2010 to March 2012 22 cases of postpartum hemorrhage complicated with diffuse intravascular coagulation clinical cases. Results All the 22 patients were rescued successfully. Sixteen patients underwent hysterectomy or subtotal hysterectomy. Six patients had intact uterus. Uterine atony was the first risk factor of postpartum hemorrhage with disseminated intravascular coagulation. Conclusions Early prevention, identification of the occurrence of DIC, removal of etiology, timely replacement of blood volume, and active and effective rescue and cooperation are the keys to the treatment of DIC.