CLINICAL ANALYSIS OF 12 CASES OF DISSEMINATED INTRAVASCULAR COAGULATION IN OBSTETRICS
- VernacularTitle:产科急性弥漫性血管内凝血12例临床分析
- Author:
Fang YANG
;
Dongxian PENG
;
Yuanli HE
- Publication Type:Journal Article
- Keywords:
disseminated intravascular coagulation;
obstetric surgical procedures;
diagnosis;
treatment
- From:
Medical Journal of Chinese People's Liberation Army
1981;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
To investigate manifestations and treatment of acute disseminated intravascular coagulation (DIC) in obstetrics, the medical records of 12 cases of acute DIC in obstetric patients admitted into our hospital from January 1993 to July 2001 were analyzed retrospectively. The result showed that the major causes of DIC in obstetric patients were amniotic fluid embolism and pregnancy induced hypertension. The main manifestations were bleeding, embolism or impairment of circulation. In all of the 12 patients accurate diagnosis was made, and treatment including elimination of causes, anti shock measures and prompt complement of coagulation factors. Nine patients received heparin early, 8 received antifibrinolytic agents rationally, and in 5 patients hysterectomy was performed. Nine patients were cured, 3 died. The key to decrease mortality of DIC in obstetric patients is to diagnose DIC early, to eliminate the causes promptly, to treat shock actively, and to use heparin and antifibrinolytic agents more rationally.
