Severe placental abruption complicated with disseminated intravascular coagulation: clinical analysis of 28 cases / 中国基层医药

ABSTRACT

Objective To analyze the clinical characteristic of disseminated intravascular coagulation(DIC)complicated by placental abruption,improving the diagnosis and treatment level.Methods A retrospective analysis of clinical data of placental abruption complicated by DIC was made in 28 cases.Results In 28 cases,hypertensive disorders in pregnancy( n =15) was the main cause,persistent abdominal pain and vaginal bleeding was the most common complaint.There were 6 cases delivery through vaginal,and 22 cases delivery by cesarean section,complicated by hemorrhagic shock in 9 cases,accounting for 32.1％,concurrent stillbirth in 20 cases,accounting for 71.4％.In 28cases,there were live births in 8 cases,after childbirth and newborn severe asphyxia in 6 cases,including 2 cases after the rescue of neonatal death,and another 4 patients after the rescue of neonatal survival.The occurrence of uterine subtotal or total hysterectomy was in 6 cases,accounting for 21.4％,acute renal failure in 2 cases,no maternal death.Conclusions Placental abruption complicated with DIC made a serious threat to maternal and child life and health,and the pregnancy should be terminated immediately after clinical diagnosis.DIC was not a hysterectomy indications,coagulation factors can help to correct the coagulation disorders,and to preserve the uterus and maintain the maternal physical and mental health.