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产后大出血并发弥浸性血管内凝血(DiC)是产妇的一种严重并发症,常因发病突然。病势凶险,治疗措手不及,或者由于临床症状不典型,未能及时确诊而延误抢救时机,故死亡率甚高。现将我们抢救成功产后大出血并发 DiC 而无典型症状的一例报告如下:吴××,女,26岁,工人,住院号17540.孕1产0,预产期为1980年9月5日,现孕39周,因阵发性腹痛10小时于1980年8月28日上午8点40分入院。一般情况尚好,血压132/90毫米汞柱,心率98次/分,心、肺无异常,下肢无浮肿.产科情况:腹部呈椭圆形,初产腹纹。头先露,右枕后位,胎心138次/分。骨盆测量未见异常。肛查宫口开全,
Postpartum hemorrhage complicated by diffuse intravascular coagulation (DiC) is a serious maternal complications, often due to sudden onset. Very dangerous, the treatment is caught off guard, or due to clinical symptoms are not typical, failed to timely diagnosis and delay the timing of the rescue, so the mortality rate is very high. Now we rescue the successful postpartum hemorrhage complicated with DiC without typical symptoms are reported as follows: Wu × ×, female, 26 years old, workers, hospital number 17540. Pregnancy and 1 production 0, the expected date of September 5, 1980, the current pregnancy 39 Week, due to paroxysmal abdominal pain 10 hours on August 28, 1980 8:40 admission. The general situation is good, blood pressure 132/90 mm Hg, heart rate 98 beats / min, heart, lung no abnormalities, lower extremity no edema. Obstetric situation: the belly was oval, primiparous. First dew, right pillow, fetal heart rate 138 times / min. No abnormal pelvic measurements. Anal inspection cervix open,