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弥散性血管内凝血(DIC)是由多种疾病引起的一种凝血功能异常综合征,促发因素很多,其中因产科并发症引起者尤为常见。产科DIC常发病急骤,病势凶险,母婴死亡率相当高,但及时诊治,去除病因可获痊愈。本文对1980年～1999年我院产科15例DIC作一回顾性分析如下。 1 临床资料 1.1 发病诱因:15例均有诱发DIC的高危因素,发病于羊水栓塞6例,重度妊高征4例,产后大出血3例,胎盘早剥2例。 1.2 临床症状及体征:15例DIC病人中全部表现阴道出血,且出血不凝,有失血性休克,出血量
Disseminated intravascular coagulation (DIC) is a syndrome of coagulopathy caused by a variety of diseases, triggering many factors, which are particularly common in obstetric complications. Obstetric DIC often sudden, extremely dangerous, maternal and child mortality is very high, but timely diagnosis and treatment, removal of the cause can be cured. This article from 1980 to 1999 in our hospital 15 cases of obstetrics DIC for a retrospective analysis is as follows. 1 Clinical data 1.1 The inducement of onset: 15 cases were risk factors for DIC, incidence of amniotic fluid embolism in 6 cases, 4 cases of severe pregnancy-induced hypertension, postpartum hemorrhage in 3 cases, 2 cases of placental abruption. 1.2 clinical symptoms and signs: 15 cases of DIC in all patients with vaginal bleeding, and bleeding without coagulation, hemorrhagic shock, bleeding