Obstetric disseminated intravascular coagulation analysis of 13 cases.doc

 PAGE \* MERGEFORMAT 8 Obstetric disseminated intravascular coagulation analysis of 13 cases [Keywords:] disseminated intravascular coagulation Disseminated intravascular coagulation (DIC is a process of development of many diseases of serious syndrome, the majority have an incentive obstetric DIC, acute onset, although the low incidence of prenatal and postnatal bleeding is one of the important reasons, dangerous condition , rapidly changing, serious life-threatening maternal and child. This group of 13 patients with obstetric DIC rescue, treatment were successful for clinical reference. 1 Clinical data 1.1 General Information The group aged 23 to 36 years, mean 29.3 years old, primipara 11 cases, 2 cases by mothers, 18 to 41 weeks gestational age, average 36 weeks, termination of pregnancy means 6 cases of natural labor, cesarean section in 7 cases, 4 cases of prenatal and postnatal 9 cases. 1.2 induced obstetric disseminated intravascular coagulation of the primary disease in Table 1. 1.3 13 cases of clinical manifestations of which the initial symptom of vaginal bleeding in 5 patients to shock as the first symptom in 3 cases; the initial symptom of abdominal wound bleeding in 2 cases, the gingival bleeding in 1 case as the first symptom to skin, petechia and ecchymosis as the first symptom in 2 cases; four cases of hysterectomy, hysterectomy rate of 30%, 13 patients, 12 patients had vaginal bleeding, blood loss 800 ~ 4 000 ml, an average of 1800 ml, placental abruption 6 cases, including placental abruption, intrauterine fetal death combined in 4 cases, with severe pre-eclampsia in 2 cases, 1 case combined with mild preeclampsia, amniotic fluid embolism in 2 cases, are in shock as the first symptom (including 1 routine hysterectomy , and 1 cases were conservatively successfully. eclampsia rectus abdominis hematoma secondary cesarean section secondary to postpartum DIC 1 cases, 1 case of acute renal failure, 2 patients had upper gastrointes