Obstetric disseminated intravascular coagulation treatment of 25 cases.doc

 PAGE \* MERGEFORMAT 9 Obstetric disseminated intravascular coagulation treatment of 25 cases [Abstract] Objective To investigate obstetric disseminated intravascular coagulation (DIC) in the early diagnosis and treatment. Methods 25 patients in our hospital clinical obstetric DIC. Results of 23 cases recovered, 2 died. Conclusions obstetric disseminated intravascular coagulation in early diagnosis and early treatment can reduce mortality. [Keywords:] disseminated intravascular coagulation; diagnosis; treatment Obstetric disseminated intravascular coagulation (DIC) is a disease caused by a variety of coagulation disorder characterized by the pathological process of abrupt onset, oncoming dangerous, very prone to multiple organ dysfunction syndrome (MODS), high mortality, be cured if timely diagnosis and treatment. How to seize the opportunity to achieve early diagnosis, proper treatment is the key to rescuing DIC. now in our hospital from 1997 to 2007 of 25 patients admitted to the patient’s diagnosis and treatment of obstetric DIC retrospective analysis of the situation as follows. 1 Clinical data 1.1 General information from January 1997 to December 2007 in our hospital obstetric maternity 17,857 people, the occurrence of DIC 25 cases, incidence rate of 0.14%. Patients aged 22 to 37 years old, average 28.2 years old. Primipara in 6 cases, 19 by maternal cases. 34 ~ 40 weeks pregnant, an average of 1 case in 37 weeks before, 24 cases occurred in the postpartum, ET twin pregnancy after in 1 case. were cesarean section. 1.2 triggers placental abruption in 10 cases, 4 cases of severe hypertension of pregnancy, postpartum uterine atony, placenta previa cause bleeding in 7 cases, 4 cases of amniotic fluid embolism. 1.3 Clinical manifestations antepartum hemorrhage in 15 cases, Cesarean Section, after 2 h, the wound bleeding, vaginal blood was 11 cases, 3 cases of uterine bleeding wound eye of a needle, 2 cases of blood found in the blood hyperc