摘要
目的 探讨在孕产妇弥漫性血管内凝血诊断、治疗和围手术期的护理.方法 回顾分析13例发生弥漫性血管内凝血的孕产妇围手术期治疗过程.结果 在13例患者中,2例双胎合并重度胎盘早剥,占15.4%;3例前置胎盘,占23.1%;7例重度子痫前期,占53.8%.11例由剖宫产结束分娩,占84.6%;2例经阴道分娩,占15.4%.13例发生弥漫性血管内凝血的孕产妇经及时抢救均成功救治.结论 重视原发疾病,密切观察病情变化,早期诊断,输注新鲜血液,有利于产科弥漫性血管内凝血的救治.
Objective To explore diagnosis, treatment and perioperative nursing of pregnant and parturient women with acute disseminated intravascular coagulation （DIC）. Methods The perioperative treatment and nursing of 13 pregnant and parturient women with acute DIC were analyzed retrospectively. Results Among 13 patients, two patients with twin pregnancy were associated with severe placental abruption （ 15.4% ）, 3 patients suffered from placenta previa （23.1%）, 7 patients suffered from severe pre-eclampsia （53.8%）. 11 patients＇ pregnancies were terminated by cesarean section （84.6%）, and 2 patients delivered vaginally （ 15.4% ）. All 13 cases of maternal DIC were rescued successfully in time. Conclusion Paying more attention to primary diseases, closely observing changes in patient＇ s condition, early diagnosis and infusing fresh blood are helpful for rescue of maternal acute DIC.
出处
《中国妇幼健康研究》
2010年第6期827-828,共2页
Chinese Journal of Woman and Child Health Research
关键词
产科
弥漫性血管内凝血
围手术期
剖宫产
obstetrics
disseminated intravascular coagulation（DIC）
perioperative period
cesarean section
