摘要
目的:探讨肝素联合成分输血在治疗产科弥漫血管内凝血(DIC)中的临床疗效。方法:回顾性分析产科DIC患者49例,在去除病因的基础上,合理使用肝素的同时,联合使用成分输血的疗效。结果:49例均有明确的产科DIC诱因,经积极治疗原发病,去除病因,合理使用肝素及成分输血后,抢救成功44例,7例行子宫次全切除术,5例因并发多脏器功能衰竭死亡。结论:早诊断,早发现,去除病因,合理使用肝素,联合使用成分输血,能提高抢救成功率,减少孕产妇死亡率,提高产科质量。
Objective To study the clinical efficacy of blood component transfusion joining heparin in treating the diffuse intravascular coagulation(DIC) of obstetric.Method Retrospective analysis was done on the 49 cases of DIC patients from 1995 to 2011 in our hospital.We observed the clinical efficacy of blood component transfusion joining rational use of heparin on the basis of removing the cause.Results The incentives for DIC were clearly in the 49 cases of patients.By the treatment of the primary disease,removing the cause,and the rational use of heparin and blood component transfusion,44 patients were successfully treated,7 cases accepted hysterectomy surgery and 5 cases died of multiple organ failure.Conclusion Early diagnosis,early detection and removing the cause,the rational use of heparin combining blood component transfusion can improve the success rate,reduce the rate of maternal mortality and improve the quality of obstetrics.
出处
《吉林医学》
CAS
2013年第13期2455-2457,共3页
Jilin Medical Journal
关键词
肝素
成分输血
急性弥漫性血管内凝血
产科
Heparin
Blood component transfusion,Acute disseminated intravascular coagulation
Obstetric
