PDF(Pubmed)
Abstract：
We present the case of a primigravida with disseminated intravascular coagulation at 21 weeks\' gestation. Furthermore, we performed a short review of the evidence-based management of the condition. The patient presented with pain and vaginal bleeding. Clinical examination, laboratory studies, and an abdominal ultrasound produced inconclusive results about the origin of her disseminated intravascular coagulation. She was transferred to a tertiary facility where blood and plasma product transfusions were performed, and further investigations revealed fetal demise caused by placental abruption as the underlying cause of her disseminated intravascular coagulation. Cervical preparation was conducted with a balloon catheter and misoprostol. Surgical evacuation of her uterus was performed and she made a full recovery.
摘要：
我们介绍了妊娠21周时弥漫性血管内凝血的初产妇。此外，我们对该疾病的循证管理进行了简短回顾.患者出现疼痛和阴道出血。临床检查,实验室研究,腹部超声对她的弥散性血管内凝血的起源没有定论。她被转移到进行血液和血浆产品输血的三级机构，进一步的调查显示，胎盘早剥引起的胎儿死亡是她弥散性血管内凝血的根本原因。用球囊导管和米索前列醇进行宫颈准备。对她的子宫进行了手术疏散，她完全康复了。
