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目的了解重型胎盘早剥并发弥漫性血管内凝血(DIC)的临床特点,探讨防治措施。方法回顾性分析2003年1月至2005年12月收治的重型胎盘早剥并发DIC11例的临床资料。结果11例剖宫产结束分娩,其中子宫次全切除3例,占27%。并发出血性休克4例,占36%。并发死胎5例,占46%。11例中活胎活产儿6例,分娩后均并发新生儿窒息,其中3例经抢救后新生儿死亡,另外3例经抢救后新生儿存活。结论重型胎盘早剥并发DIC早期诊断及及时处理,可降低孕产妇病死率及围生儿病死率。
Objective To understand the clinical features of severe placental abruption complicated with diffuse intravascular coagulation (DIC) and to explore the prevention and treatment measures. Methods The clinical data of 11 cases with severe placental abruption complicated with DIC admitted from January 2003 to December 2005 were retrospectively analyzed. Results 11 cases of cesarean delivery ended, including subtotal hysterectomy in 3 cases, accounting for 27%. Concurrent hemorrhagic shock in 4 cases, 36%. 5 cases of stillbirth with complications, accounting for 46%. In 11 cases, 6 live live births were delivered. All newborns were asphyxiated after delivery. Among them, 3 died of newborn death after rescue and 3 survived newborn after rescue. Conclusions The early diagnosis and timely treatment of severe placental abruption complicated by DIC can reduce maternal mortality and perinatal mortality.