[摘要] 目的 探讨DIC的发病原因、预防及正确处理方法。方法 总结1997～2005年我院收治的16例产科DIC的临床资料。结果 产科DIC的发病原因依次为重度妊高征、产后大出血、羊水栓塞、宫内死胎、胎盘早剥、妊娠合并肝病及血液病。治愈率68.75%，死亡率31.25%。结论 加强孕期宣教、孕产妇系统管理、及早发现、及时把可能导致产科DIC的原发病病人转送到有条件的上级医院诊治，是预防产科DIC发生的重要环节。中心静脉压监测、成分输血、补充大量的凝血因子、小剂量肝素的应用、及时果断地切除子宫是抢救产科DIC成功的有效方法。

    [关键词] 妊娠；DIC；预防；治疗

    Clinical analysis of 16 cases of DIC in obstetrics

    MA Jie.The Center of Family Planning Technical Service Tonghua 134001，China

    [Abstract] Objective To study the predisposing factors，prevention and the right method of therapy when DIC happened in obstetric.Methods Summarize the clinical data of 16 cases of obstetric DIC during 1997～2005.Results The predisposing factor of obstetric DIC is that PIH，postpartum hemorrhage，amniotic fluid embolism，fatal death，placental abruptions，lⅣer disease of pregnancy and hemopathy.Cure rate:68.75% ......