摘要
Abstract
Objective To explore the cause, treatment programs and prognostic factors of obstetric disseminated intravascular coagulation. Methods 28 pregnant women with disseminated intravascular coagulation in our hospital from January 2006 to January 2014 were selected, the cause and clinical manifestations of the pregnant women with disseminated intravascular coagulation were retrospectively analyzed. Results 28 pregnant women were all rescued successfully, no maternal deaths;3 cases had total hysterectomy, 1 case had subtotal hysterectomy, 6 cases had uterine arterial embolization. Fetal condition, 27 neonatal survived, 1 case was intrauterine death, 4 cases were stillbirth, neonatal mortality rate was 15.62%. Patients' coagulation function had significant differences before and after the treatment of disseminated intravascular coagulation. After the treatment, patients' coagulation function had been significantly improved. Conclusion In the treatment of disseminated intravascular coagulation, it is main to remove the cause of disseminated intravascular coagulation, while to give effective hemostasis, add volume and other related symptomatic treatment. It plays a very important role for reservations uterus of uterine arterial embolization and plus line B-Lynch suture uterus when Laparotomy again.关键词
产科/弥漫性血管内凝血/预后Key words
Obstetric/Disseminated intravascular coagulation/Prognosis分类
医药卫生
