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3 cases of obstetric disease complicated rescue experience DIC


Victoria fibrinogen 0IDE3g ~,. Therefore, in parallel into the hepatic cord 50rag uterus barrier 3 hours after surgery, DI 【indicators improved, and bleeding stopped. King General bleeding about 4500mI. Patients generally in good condition. . Example 2,30. Early wide: women, pregnant 41 + 'Wai, trapped consumer l constricted fetal movement 2 days, abdominal pain, 3 hours. Vaginal bleeding 2 hours, the next in September l994 26E = f admission examination BPl6/lOkPa abdominal plate. Unclear fetal position, fetal heart disappeared, membranes are not broken. Guankouweishi f. Vaginal bleeding, moderate; B-Tip placental abruption, fetal death. Open the lines of artificial rupture of membranes. Please see less amniotic fluid color clear DIC indicators: platelets 50,[link widoczny dla zalogowanych],000 / L, prothrombin time> 2 minutes, fibrinogen 0.089g ~ 'line profile is the official release surgery, out for a meal of the dead, all placental detachment, blood in bureaucratic about 2500ml; trapped officer fins poor, is still too Cuan _ bleeding, and shrinking into the official agent, and heat or massage with hot saline gauze, but not effective, the subtotal for the uterus. Intraoperative application of JI blood aromatic acid. Turbulent blood and liver of prothrombin complex material sets; of surgery pulp drainage. Feet l016kPa, urinary fireflies and more; total bleeding mother 4000mI, blood transfusion 2000ml. After 3 hours, DIc indicators improved, patients are generally in good condition. Down 3.2S, early maternal, pregnant 40-cook. Under the August 8, 1994 and where the hospital due to premature rupture of membranes. Check: BP1'7 / 12kPa, the infusion of oxytocin: a sense of secret prime flutter during lunch chest tightness, irritable. Therefore, stop immediately and give oxygen Yi, depression dexamethasone and hydrocortisone and other symptoms gradually ease. Strong due to open split shrink government officials, and finally I Ho pregnancy bleeding much. World after two hours. Vaginal bleeding without coagulation. Jicha D! C Bp index plunged 48 million platelets, L. Howl thrombin time 41 seconds, 3 friends test positive. By the use of hepatic cord 50 ~ ng. Concurrent hysterectomy. Intraoperative urine 200mI. The total bleeding Lan is 4000p '~ l, blood transfusion 3000mI; after 3 hours DlC that would improve. 3 days after 2 DIC Experience Index 2.1 _F treatment often painted hair hoppers. Remove the cause of acute obstetrical DIC is the key to rescuing the book group has induced DIc ill obstetric disorders such as post-natal mountain of blood, the elimination of the local lesions induced DIC, block procoagulant continue to enter the maternal blood, and finally I had DIc development. 2.2 The anti-shock treatment of acute obstetric DIC is to save the base g and DIc Qiu Feng measures reinforce each other, the nature of shock microcirculation Lan abrupt decrease. Resulting in major organ dysfunction. Therefore, in the treatment of DIC at the same time. Comprehensive measures should be taken to Taiwan antibody g l Feng group of patients in a mane the same time, are appropriate transfusion, blood transfusions, to supplement the blood volume. Microcirculation, correcting water, electricity and balance disorders: the same time boost to the vasodilator drugs. Achieved good results, 3 cases renal failure occurred beam. 2.3 The timely application of heparin and fibrinolytic inhibition benefits of Jing is the rescue of Obstetrics DIc, P can not be ignored heparin is an important antagonist of DIC, which protects not binding and procoagulant clotting factors and platelets. So do not be consumed in order to prevent the occurrence of D1C, development, and to create conditions for reconstruction of the normal blood coagulation. As long as clinical symptoms consistent with D! C, heparin should be immediately applied early in the DIC (high condensate phase), the effect the most significant improvement in symptoms of rejection must be stopped, who wish to re-use. Observed in the biochemical indices should be carried out in order to avoid too. The fibrinolysis inhibitor in DI (early or late middle cloth should be disabled. DIc indicators should be based on clinical bleeding and determined on the basis heparinization with mites. 2.4 The Palace is also seize the opportunity to cut benefits of saving obstetric important DIC ring in shock cases, too difficult to control vaginal bleeding should actively create conditions decisively hysterectomy, which is an important part of improving success rate. cases 1,2 subtotal hysterectomy was successful at blocking the DIC development; Example 3 is the solid residue Palace veins pre-pipe the amniotic cavity with large tied to child, there is potential risk of bleeding, such as the cervix is ​​not removed, it can not completely control the bleeding, blocking DIc development, and knocked for hysterectomy } knife In addition, obstetric patients with acute DIC, so drainage should routinely be fine, you can forecast internal bleeding, prevention of hematoma and infection. down tube 3 storm not occurred in 13 abdominal wall hematoma and infection, should be a warning.