Sher G
J Reprod Med. 1980 Sep;25(3):113-8.
A study was conducted on 40 patients with abruptio placentae complicated by intrauterine death of the fetus, consumption coagulopathy and uterine inertia. All patients had severe hyperfibrinolysis (FDP > 300 microgram/ml). Following correction of shock, amniotomy was performed, intrauterine pressure catheters were placed, and oxytocin infusions were begun in all cases. The diagnosis of uterine inertia was made when the cervix failed to dilate following six hours of this treatment. After diagnosing uterine inertia, 18 patients (group B) did not. All but one patient in group A showed a marked improvement in the associated consumption coagulopathy and a rapid reawakening of uterine activity with progress to spontaneous vaginal delivery. Thirteen patients in group B did not show prepartum improvement in consumption coagulopathy or a resumption of uterine activity. These patients required cesarean section. There were two maternal deaths in group B; the overall complication rate in this group was greater than in group A.
对40例胎盘早剥合并胎儿宫内死亡、消耗性凝血病及子宫收缩乏力的患者进行了一项研究。所有患者均有严重的纤维蛋白溶解亢进（纤维蛋白降解产物>300微克/毫升）。在纠正休克后，所有病例均行人工破膜、放置宫内压力导管并开始静脉滴注缩宫素。在该治疗6小时后宫颈未扩张时诊断为子宫收缩乏力。诊断为子宫收缩乏力后，18例患者（B组）未（采取进一步措施）。A组除1例患者外，所有患者的相关消耗性凝血病均有明显改善，子宫活动迅速恢复并进展至自然阴道分娩。B组13例患者的消耗性凝血病在产前未改善，子宫活动也未恢复。这些患者需要剖宫产。B组有2例产妇死亡；该组的总体并发症发生率高于A组。
