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目的 探讨产科急性 DIC的临床诊疗和防治措施。方法 对 2 5例产科急性 DIC的临床资料进行回顾性分析。结果 明确产科急性 DIC的早期临床表现 ,控制出血时间越早 ,疗效越好 ,保存子宫机会较多 ;诱发 DIC的主要疾病为重度妊高症、胎盘早剥、羊水栓塞 ;实验室检查中血小板和 FDP的敏感性较高。结论 要重视对产科急性 DIC主要诱发疾病的防治 ,动态监测实验室检查结果 ,治疗的关键是去除病因 ,治疗中要注意防治多器官功能衰竭
Objective To investigate the clinical diagnosis and treatment of obstetric acute DIC. Methods The clinical data of 25 cases of obstetric acute DIC were retrospectively analyzed. The results of a clear obstetric acute DIC early clinical manifestations, the control bleeding sooner, the better the effect, the opportunity to save the uterus more; the main diseases induced by DIC are severe pregnancy-induced hypertension, placental abruption, amniotic fluid embolism; laboratory tests platelet and FDP is more sensitive. Conclusion It is necessary to pay attention to the prevention and treatment of the major predisposing diseases in obstetric acute DIC. The dynamic monitoring laboratory test results, the key is to remove the cause of treatment, treatment should pay attention to the prevention and treatment of multiple organ failure