Weekes L R
J Natl Med Assoc. 1985 Oct;77(10):830-2, 835.
Disseminated intravascular coagulation (DIC) is not uncommon in the obstetric patient, but DIC of sufficient severity to be of clinical importance is unusual. Treatment of DIC is directed primarily at its cause. Replacement of depleted blood components with packed red blood cells, fresh frozen plasma, cryoprecipitate, and platelets is sometimes required for treating hemorrhage. Heparin should be used only rarely, and only to help control life-threatening hemorrhage because DIC is refractory to vigorous and adequate blood-component therapy. With careful planning of treatment, adherence to a few general principles, and the combined approach of an obstetrician and a coagulationest, fatalities and major morbidity should be rare.
弥散性血管内凝血（DIC）在产科患者中并不少见，但严重到具有临床重要性的DIC并不常见。DIC的治疗主要针对其病因。有时需要用浓缩红细胞、新鲜冰冻血浆、冷沉淀和血小板替代消耗的血液成分来治疗出血。肝素仅应极少使用，且仅用于帮助控制危及生命的出血，因为DIC对积极且充分的血液成分治疗无效。通过精心规划治疗、遵循一些一般原则以及产科医生和凝血专家的联合方法，死亡和严重并发症应很少见。
