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目的了解孕妇临产时凝血功能情况,探讨孕妇临产时凝血四项和D-二聚体的临床变化和意义。方法对105例临产孕妇(试验组)与41例健康非孕妇女(对照组)的凝血四项进行比较分析。结果临产孕妇与正常非孕妇比较,TP和TT差异无统计学意义,而FIB和D-二聚体明显升高(P<0.01),而明显降低(P<0.01)。结论孕妇前后P.T、TT抬标无明显变化,不能反应临产孕妇处于高凝血状态,而APTT,FIB,D-二聚体升高还能说明临产妇女有继发性纤溶的发生。
Objective To understand the coagulation function of pregnant women during labor and explore the clinical significance and clinical significance of coagulation and D-dimer during labor. Methods The clotting of 105 pregnant women (experimental group) and 41 healthy non-pregnant women (control group) were compared and analyzed. Results Compared with normal non-pregnant women, there was no significant difference between TP and TT in pregnant women, while FIB and D-dimer were significantly increased (P <0.01) and significantly decreased (P <0.01). Conclusions There is no obvious change in the lifting of P.T. TT before and after pregnancy, which can not reflect the high blood coagulation state of pregnant women. The increase of APTT, FIB and D-dimer also shows the occurrence of secondary fibrinolysis in the working women.