产科失血性休克转诊处理的讨论 ——附稽留流产并发失血性休克、弥散性血管内凝血误诊1例
Chinese Journal Of Family Planning & Gynecotokology（2018）
Abstract
稽留流产( missed abortion )是妇产科常见病,容易导致凝血功能障碍,但以阴道大量流血,失血性休克合并弥散性血管内凝血 ( disseminated intravascular coagulation ,DIC)而需要进行多次转诊抢救的病例少见,若转诊处理不当必将危及患者生命,有关抢救的经验教训报道更少. 现报道1例停经时间不详,以阴道大量流血、失血性休克为首发症状的稽留流产合并DIC病例误诊及转诊处理不当后的抢救过程,从中吸取处理不当和处理成功的经验教训,以提高基层妇产科医务工作者的转诊及急诊处理水平.
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