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目的报道3例不完全子宫破裂致产科D IC的临床资料。方法回顾性分析在本院发生的3例产科D IC,根据诱发的病因、临床症状及实验室检查,尽早做出诊断,积极治疗原发病,去除病因,抗休克,补充血容量,纠正酸中毒,适当使用肝素等抗凝治疗,在此基础上输入血浆,补充凝血因子及抗纤溶药物,对无法控制的阴道出血,以手术切除子宫。结果2例治愈,1例死亡。结论早期正确诊断,尽早去除病因,阻断促凝物质继续进入母血循环,在产科方面尽快结束分娩,阴道分娩条件不成熟者,可行剖宫产术,产后出血不止应果断切除子宫,同时产科临床以大量出血为特点,在治疗原则上则以输入大量新鲜血及纤维蛋白为主,抢救患者的失血性休克,此时肝素应用要慎重。
Objective To report the clinical data of 3 obstetric D IC caused by incomplete uterine rupture. Methods Three obstetric D ICs were retrospectively analyzed in our hospital. According to the induced etiology, clinical symptoms and laboratory tests, the patients were diagnosed as soon as possible, active treatment of primary disease, etiology, anti-shock, blood volume replacement, Poisoning, the appropriate use of heparin and other anticoagulant therapy, on the basis of the input plasma, blood coagulation factors and anti-fibrinolytic drugs, uncontrollable vaginal bleeding, surgical removal of the uterus. Results 2 cases were cured, 1 case died. Conclusion The early diagnosis, early removal of the cause, blocking procoagulant substances continue to enter the maternal blood circulation in obstetrics as soon as possible delivery, immature vaginal delivery conditions, viable cesarean section, postpartum hemorrhage should be decisive uterus should be decisive, and obstetric clinical To a large number of bleeding, in principle, the treatment is to enter a large number of new blood and fibrin-based rescue of patients with hemorrhagic shock, when heparin application should be cautious.