目的探讨产科急性弥散性血管内凝血(D IC)的临床特点及诊断治疗方法。方法对53例产科急性D IC的临床资料进行回顾性分析。结果熟悉产科急性D IC的早期临床表现,做到早期诊断,积极治疗诱发产科急性D IC原发疾病,及时去除病因并且根据诱发疾病及D IC病情选择性合理使用肝素是抢救产科急性D IC成功的关键。结论产科急性D IC发病急,病势凶险,病死率高,只要做到早期诊断及时正确治疗,可获治愈并可显著降低病死率。 Objective To investigate the clinical features and diagnosis and treatment of obstetric acute diffuse intravascular coagulation (D IC). Methods The clinical data of 53 obstetric acute ICs were retrospectively analyzed. The results were familiar with the early clinical manifestations of obstetric acute D IC, early diagnosis, active treatment induced obstetric acute D IC primary disease, timely removal of the cause and according to the induced disease and D IC disease selective and rational use of heparin is the rescue of obstetric acute D IC success key. Conclusions The obstetric acute D IC is acute, dangerous and fatal. As long as the early diagnosis and timely treatment are correct, it can be cured and the mortality rate can be significantly reduced.