中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
69-70
,共2页
产科弥散性血管内凝血%诱发因素%疗效%出血
產科瀰散性血管內凝血%誘髮因素%療效%齣血
산과미산성혈관내응혈%유발인소%료효%출혈
Obstetric disseminated intravascular coagulation%Predisposing factors%Clinical efficacy%Bleeding
目的：探讨产科弥散性血管内凝血患者的诱发因素和临床疗效。方法：收治弥散性血管内凝血患者100例，按照入院顺序随机均分为两组，对照组予以常规治疗，试验组在对照组的基础上予以支持治疗，观察产科弥散性血管内凝血患者的诱发因素，治疗后观察两组的临床治疗效果与出血量。结果：诱发因素包括羊水栓塞、胎盘早剥、死胎、产后出血及妊娠期高血压。试验组患者治疗的24 h 内出血量明显少于对照组，抢救有效率也明显高于对照组，组间差异具有统计学意义(P＜0.05)。结论：常规治疗基础上加强支持治疗对治疗产科弥散性血管内凝血效果显著，减少了患者出血量。
目的：探討產科瀰散性血管內凝血患者的誘髮因素和臨床療效。方法：收治瀰散性血管內凝血患者100例，按照入院順序隨機均分為兩組，對照組予以常規治療，試驗組在對照組的基礎上予以支持治療，觀察產科瀰散性血管內凝血患者的誘髮因素，治療後觀察兩組的臨床治療效果與齣血量。結果：誘髮因素包括羊水栓塞、胎盤早剝、死胎、產後齣血及妊娠期高血壓。試驗組患者治療的24 h 內齣血量明顯少于對照組，搶救有效率也明顯高于對照組，組間差異具有統計學意義(P＜0.05)。結論：常規治療基礎上加彊支持治療對治療產科瀰散性血管內凝血效果顯著，減少瞭患者齣血量。
목적：탐토산과미산성혈관내응혈환자적유발인소화림상료효。방법：수치미산성혈관내응혈환자100례，안조입원순서수궤균분위량조，대조조여이상규치료，시험조재대조조적기출상여이지지치료，관찰산과미산성혈관내응혈환자적유발인소，치료후관찰량조적림상치료효과여출혈량。결과：유발인소포괄양수전새、태반조박、사태、산후출혈급임신기고혈압。시험조환자치료적24 h 내출혈량명현소우대조조，창구유효솔야명현고우대조조，조간차이구유통계학의의(P＜0.05)。결론：상규치료기출상가강지지치료대치료산과미산성혈관내응혈효과현저，감소료환자출혈량。
Objective:To investigate the clinical efficacy and predisposing factors of obstetric patients with disseminated intravascular coagulation.Methods:100 patients with disseminated intravascular coagulation were selected.They were randomly divided into two equal groups according to the order of admission.Patients in the control group were given routine treatment. Patients in the experimental group received supportive treatment on the basis of the control group.We observed the predisposing factors of obstetric patients with disseminated intravascular coagulation,and observed the clinical therapeutic effect of the two groups after treatment and the amount of bleeding.Results:Predisposing factors included amniotic fluid embolism,placental abruption,fetal death,postpartum hemorrhage and pregnancy induced hypertension.The amount of bleeding within 24 hours after treatment of the experimental group was significantly lower than the control group,the rescue efficiency was higher than the control group,the differences between the groups were statistically significant(P<0.05).Conclusion:Strengthen support for treatment on the basis of conventional therapy had significant effect on the treatment of obstetric disseminated intravascular coagulation and reduce the bleeding.
