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目的:探讨产科疾病合并弥散性血管内凝血(DIC)的病因及治疗方法。方法:我院近10 a来共收治住院孕产妇11 420例,其中合并DIC 18例,发病率为0.18%,通过对临床表现及实验室检查确诊的DIC患者进行临床病例分析。结果:18例DIC患者的发病因素中,其中以重度妊娠高血压综合征、胎盘早剥、羊水栓塞、产后出血、过期流产引起者最常见。本组均治愈。结论:DIC的治疗首先应去除病因,并根据DIC发展的不同阶段、临床症状以及实验室检查结果给予相关治疗。
Objective: To investigate the etiology and treatment of obstetric disease with disseminated intravascular coagulation (DIC). Methods: A total of 11 420 pregnant women were admitted to our hospital in the past 10 years. Among them, 18 cases were complicated with DIC, the incidence rate was 0.18%. The clinical cases were analyzed through DIC patients confirmed by clinical manifestations and laboratory tests. Results: Of the 18 DIC patients, the most common cause was caused by severe pregnancy-induced hypertension syndrome, placental abruption, amniotic fluid embolism, postpartum hemorrhage and abortion. This group are cured. Conclusion: DIC should first remove the cause of treatment, and according to the different stages of DIC development, clinical symptoms and laboratory tests to give the relevant treatment.