CAJ | 학술논문

目的提高胎盘早剥并发弥散性血管内凝血(DIC)的诊断及处理水平.方法回顾性分析胎盘早剥并发DIC 28例的诊断及处理的临床资料.结果 28例中,妊娠期高血压疾病(15例)为主要诱因,持续性下腹痛、阴道流血为最常见的主诉.6例经阴道分娩,22例剖宫产结束分娩.并发失血性休克9例,占32.1％.并发死胎20例,占71.4％.28例中活产儿8例,分娩后并发新生儿重度窒息6例中2例死亡,4例存活.子宫次全切除或子宫全切共6例,占21.4％.并发肾功能衰竭2例,无孕产妇死亡.结论胎盘早剥并发DIC严重威胁母婴生命,临床诊断后应立即终止妊娠.DIC不是切除子宫的指征,补充凝血因子纠正凝血障碍,可以保留子宫,维护产妇的身心健康.
목적 제고태반조박병발미산성혈관내응혈(DIC)적진단급처리수평.방법 회고성분석태반조박병발DIC 28례적진단급처리적림상자료.결과 28례중,임신기고혈압질병(15례)위주요유인,지속성하복통、음도류혈위최상견적주소.6례경음도분면,22례부궁산결속분면.병발실혈성휴극9례,점32.1％.병발사태20례,점71.4％.28례중활산인8례,분면후병발신생인중도질식6례중2례사망,4례존활.자궁차전절제혹자궁전절공6례,점21.4％.병발신공능쇠갈2례,무잉산부사망.결론 태반조박병발DIC엄중위협모영생명,림상진단후응립즉종지임신.DIC불시절제자궁적지정,보충응혈인자규정응혈장애,가이보류자궁,유호산부적신심건강.
Objective To analyze the clinical characteristic of disseminated intravascular coagulation(DIC)complicated by placental abruption,improving the diagnosis and treatment level.Methods A retrospective analysis of clinical data of placental abruption complicated by DIC was made in 28 cases.Results In 28 cases,hypertensive disorders in pregnancy( n =15) was the main cause,persistent abdominal pain and vaginal bleeding was the most common complaint.There were 6 cases delivery through vaginal,and 22 cases delivery by cesarean section,complicated by hemorrhagic shock in 9 cases,accounting for 32.1％,concurrent stillbirth in 20 cases,accounting for 71.4％.In 28cases,there were live births in 8 cases,after childbirth and newborn severe asphyxia in 6 cases,including 2 cases after the rescue of neonatal death,and another 4 patients after the rescue of neonatal survival.The occurrence of uterine subtotal or total hysterectomy was in 6 cases,accounting for 21.4％,acute renal failure in 2 cases,no maternal death.Conclusions Placental abruption complicated with DIC made a serious threat to maternal and child life and health,and the pregnancy should be terminated immediately after clinical diagnosis.DIC was not a hysterectomy indications,coagulation factors can help to correct the coagulation disorders,and to preserve the uterus and maintain the maternal physical and mental health.