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目的探讨产科弥漫性血管内凝血(DIC)的早期诊断及治疗。方法回顾我科20例产科弥漫性血管内凝血患者的临床资料。结果 20例产科弥漫性血管内凝血患者17例抢救成功,3例死亡。结论产后出血、胎盘早剥、羊水栓塞是主要诱因,早期诊断,去除诱因,合理使用肝素,及时补充凝血因子,果断切除子宫是成功治疗的关键。
Objective To investigate the early diagnosis and treatment of diffuse intravascular coagulation (DIC) in obstetrics. Methods The clinical data of 20 patients with obstetric diffuse intravascular coagulation in our department were retrospectively reviewed. Results Twenty patients with obstetric diffuse intravascular coagulation were successfully treated and 3 died. Conclusions Postpartum hemorrhage, placental abruption and amniotic fluid embolism are the main inducing factors. Early diagnosis and removal of inducing factors, rational use of heparin, timely replenishment of coagulation factors, and decisive uterine resection are the keys to successful treatment.