[产科弥漫性血管内凝血:1例报告及文献复习]。

Q3 Medicine
Y F F Song, X Y Gong, B Zang
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引用次数: 0

摘要

目的:报告1例产科弥漫性血管内凝血并探讨治疗策略。方法:分析羊水栓塞后心脏骤停并弥散性血管内凝血患者的临床资料及治疗过程,并复习相关文献。结果:女,36岁,初产妇,因“闭经9个多月,下腹疼痛14小时,阴道少量出血2小时”入院分娩,分娩后发生羊水栓塞,再发生心脏骤停及DIC,导致大量失血,通过积极循环呼吸支持、手术干预2次、输注红细胞、血浆、与冷沉淀、纤维蛋白原等血液制品进行替代,并早期进行抗纤溶,成功挽救了患者的生命,无不可逆的器官功能损害。结论:对于产科弥漫性血管内凝血患者,除治疗原发疾病外,还应酌情通过组分输注和抗纤溶药物纠正凝血功能,以改善预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Obstetrical disseminated intravascular coagulation: a case report and literature review].

Objective: To report a case of obstetrical disseminated intravascular coagulation and discuss the treatment strategy of such cases. Method: The clinical data and treatment process of the patient with cardiac arrest and disseminated intravascular coagulation after amniotic fluid embolism was analyzed, and the related literature was reviewed. Results: Female, 36 years old, primigravida, was admitted to the hospital for delivery because of "amenorrhea for more than 9 months, lower abdominal pain for 14 hours with a small amount of vaginal bleeding for 2 hours", amniotic fluid embolism occurred after delivery, then cardiac arrest and DIC happened, which led to a large amount of blood loss, through the treatment methods of active circulatory and respiratory support, surgical interventions for two times, transfusion of erythrocytes, plasma, and cold precipitation, fibrinogen and other blood product for substitution, and early antifibrinolytic, the patient's life was successfully saved without irreversible organ function damage. Conclusions: For patients with obstetrical disseminated intravascular coagulation, in addition to treating the primary disease, it is necessary to correct coagulation function by component transfuse and antifibrinolytic as appropriate to improve the prognosis.

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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
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