孕中期人工流产刮宫术后发生的弥散性血管内凝血

Disseminated Intravascular Coagulopathy following Induced Second Trimester Curettage Abortion.

作者信息

Guha Paulami

机构信息

Department of OBGYN, St. Bernard Hospital and Health Care Center, 326 West 64th Street, Chicago, IL 60621, USA.

出版信息

ISRN Obstet Gynecol. 2011;2011:591760. doi: 10.5402/2011/591760. Epub 2010 Oct 20.

DOI:10.5402/2011/591760

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3102012/

Abstract

Background. This is a case of 18-year-old adolescent girl admitted with profuse vaginal bleeding following induced second trimester curettage abortion at 13 weeks of gestation. Case. Her transvaginal sonogram detected retained products of conceptus, and her blood reports revealed a full blown picture of DIC. Dilatation and evacuation was done after initial resuscitation with packed RBCs and platelet concentrates. She had an uneventful recovery period. Conclusion. DIC is an extremely life-threatening condition which can occur as a very infrequent complication of second trimester abortion.

摘要

背景。这是一名18岁青春期女孩的病例，她在妊娠13周时进行了中期引产刮宫术后出现大量阴道出血。病例。经阴道超声检查发现其有妊娠物残留，血液检查报告显示其呈现出典型的弥散性血管内凝血（DIC）症状。在输注浓缩红细胞和血小板进行初步复苏后，进行了刮宫术。她恢复过程顺利。结论。弥散性血管内凝血是一种极其危及生命的病症，可作为中期流产极为罕见的并发症出现。

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本文引用的文献

1

Abortion surveillance - United States, 2006.2006年美国堕胎监测

MMWR Surveill Summ. 2009 Nov 27;58(8):1-35.

2

Towards definition, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation.关于弥散性血管内凝血的定义、临床及实验室标准和评分系统

Thromb Haemost. 2001 Nov;86(5):1327-30.

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