摘要
目的 探讨妊高征与急性ＤＩＣ的关系。方法 对西安市５ 所医院１９８０ 至１９９７ 年１８ 年间发生的妊高征并发急性ＤＩＣ２６ 例临床资料进行回顾性分析。结果 （１）２６ 例妊高征并发急性ＤＩＣ中，７ 例孕产妇死亡，死亡率为２６ ．９２％ ，围产儿２９ 例（３ 例双胎），１７ 例死亡，死亡率为５８．６２％ 。剖宫产７ 例，子宫切除７ 例，其中４ 例为剖宫产同时切除子宫。（２） 急性ＤＩＣ的诱发因素是：胎盘早剥７ 例，羊水栓塞４ 例，子痫抽搐４ 例，手术创伤７ 例，出血４ 例。以胎盘早剥为诱因的７ 例妊高征并发急性ＤＩＣ全部治愈，以羊水栓塞为诱因的４ 例全部死亡。结论 妊高征与ＤＩＣ 关系密切，并发急性ＤＩＣ是妊高征孕产妇和围产儿死亡的重要原因，防治妊高征要特别重视防治ＤＩＣ。
Objective To determine the relationship between pregnancy induced hypertension (PIH) and acute disseminated intravascular coagulation (DIC). Methods 26 cases with PIH complicated acute DIC were analyzed retrospectively in five hospitals of Xi′an from 1980 to 1997. Results (1) In 26 patients with PIH complicated acute DIC, 7 cases died (26.92%), while 17 neonates died (58.62%) in 29 neonates (3 cases were twin pregnancy). Cesarean section and hysterectomy were performed on 7 cases respectively, including 4 cases underwent both of them. (2) The causative factors of PIH complicated acute DIC included placental abruption (7 cases), amniotic fluid embolism (4 cases), eclamptic seizure (4 cases), surgical injury (7 cases) and bleeding (4 cases). 7 cases induced by placental abruption were all cured, 4 cases induced by amniotic fluid embolism all died. Conclusion There are close relationship between PIH and DIC, PIH complicated acute DIC is the major cause of maternal and perinatal mortality, special attention should be paid on preventing DIC for PIH.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1999年第10期600-602,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
弥漫性
血管内凝血
妊娠高血压
并发症
Pregnancy complications cardiovascular Hypertension Disseminated intravascular coagulation
