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本文报告21例病理妊娠合并DIC的临床资料。表明DIC的发病诱因以妊娠合并重症肝炎、羊水栓塞为多,依次为胎盘早期剥离、妊娠合并脂肪旰、妊娠合并药物性肝炎、子宫破裂、过期流产、植入性胎盘等。在抢救治疗中,作者强调积极处理产科情况,去除病因的重要性。本组去除产科病因的16例中,15例治愈。对于不同产科情况并发DIC的处理和肝素以及抗纤溶药物的使用等问题,进行了讨论。
This article reports 21 cases of pathological pregnancy combined with clinical data DIC. DIC induction of predisposition to pregnancy with severe hepatitis, amniotic fluid embolism were more, followed by early placental abruption, pregnancy with fatty fats, pregnancy with drug-induced hepatitis, uterine rupture, abortion, implanted placenta and so on. In salvage therapy, the author emphasizes the importance of actively handling obstetric conditions and removing the cause. In this group of 16 cases of obstetric etiology, 15 cases were cured. The treatment of concurrent obstetric conditions with DIC and the use of heparin and antifibrinolytic drugs are discussed.