产科弥散性血管内凝血22例防治策略.docVIP

产科弥散性血管内凝血救治策略 [摘要]目的：通过对产科弥散性血管内凝血（DIC）的病例分析，寻找合理有效的救治策略。降低死亡率。方法：对本院2002年1月至2010年5月产科DIC患者的发生原因及诊治手段进行回顾性分析。 结果：发病诱因：宫缩乏力、软产道损伤及前置胎盘各6例，凝血功能障碍4例。22例患者中成活19例，死亡3例。结论：及早期预防产后出血是减少DIC发生的关键，多个学科合作是抢救DIC的保证，成份输血有较高的价值，子宫切除是救治DIC的有效措施。 [关键词]产科；弥散性血管内凝血；防治；策略 Clinical analysis of 22 cases of disseminated intravascular coagulation in obstetrics [Abstract] Objective: To investigate the treatment measures of disseminated intravascular coagulation (DIC) in obstetrics, and to decrease the mortality. Methods: Twenty- two patients with D IC that cured from January 2002 to May 2010 were analyzed retrospect