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近年来对血管内凝血与抗凝这一复杂的病理生理过程及凝血功能障碍的认识为产科临床处理出血问题提供了理论基础;产科出血已不再单纯着眼于生殖道,而应结合凝血功能状态及临床情况全面考虑。我们从本院收治的病因不同的产科凝血功能异常产妇中,选择了5例,简述其临床经过及处理并加以讨论。临床资料例1.苏×,24岁。住院号233020,1985年4月22日因初孕,妊娠26周,胎死宫内一周入院。检查:宫底平脐,无胎动及胎心音,双下肢有片状出血斑。血红蛋白11.5g％。纤维蛋白原160mg％,血小板8.5万/mm~3,凝血酶原时间13.5秒(正常对照12.5秒),
In recent years, the understanding of the complex pathophysiological processes and coagulation dysfunction of intravascular coagulation and anticoagulation provides a theoretical basis for obstetric treatment of bleeding problems; obstetric hemorrhage is no longer a simple focus on the genital tract, but should be combined with coagulation status And clinical conditions fully considered. In our hospital from the different causes of obstetric coagulation abnormalities in women, the selection of 5 cases, a brief description of its clinical course and treatment and to be discussed. Clinical data example 1. Su ×, 24 years old. Hospitalization No. 233020, April 22, 1985 due to first trimester, 26 weeks of pregnancy, fetal death a week within the hospital. Check: flat umbilical Palace, no fetal movement and fetal heart sound, both lower extremity flaky bleed spots. Hemoglobin 11.5g%. Fibrinogen 160mg%, platelets 85000 / mm ~ 3, prothrombin time 13.5 seconds (normal control 12.5 seconds),