1例早治疗的妊娠期感染性休克并发弥散性血管内凝血的临床分析
Clinical Analysis of a Case of Early Treatment of Infectious Shock in Pregnancy Complicated with Disseminated Intravascular Coagulation
摘要: 目的:探讨妊娠期感染性休克并发弥散性血管内凝血(Disseminated Intravascular Coagulation, DIC)的早期识别、诊断及治疗。方法:本文将介绍1例我院早期诊断并治疗的妊娠期感染性休克并发DIC的患者。结果:该患者通过及时抗感染、抗休克、去除病灶等对症支持治疗后恢复良好。结论:感染性休克并发DIC为孕产妇死亡的重要原因之一,临床早发现、早诊断、早治疗可降低患者病死率。
Abstract: Objective: To explore the early identification, diagnosis and treatment of infectious shock compli-cated with disseminated intravascular coagulation in pregnancy. Methods: This article will intro-duce the whole process from onset to treatment of a case of infectious shock complicated with DIC in pregnancy in our hospital. Results: The patient recovered well after timely anti-infection, anti-shock, lesion removal and other symptomatic support treatment. Conclusion: Infectious shock complicated with DIC is one of the important causes of maternal death. Early clinical detection, early diagnosis and early treatment can reduce the mortality of patients.
文章引用:杨丽, 周爱芬, 周洁琼. 1例早治疗的妊娠期感染性休克并发弥散性血管内凝血的临床分析[J]. 临床医学进展, 2023, 13(1): 760-764. https://doi.org/10.12677/ACM.2023.131110

参考文献

[1] 王晓刚, 殷启霖, 李红, 等. 1例妊娠合并感染性休克患者抗感染治疗临床分析[J]. 宜春学院学报, 2017, 39(9): 74-77.
[2] 范玲. 妊娠合并感染性休克[J]. 中华产科急救电子杂志, 2017, 6(3): 138-141.
[3] Ali, A. and Lamont, R.F. (2019) Recent Advances in the Diagnosis and Management of Sepsis in Pregnancy. F1000Research, 8, Article No. 1546. [Google Scholar] [CrossRef] [PubMed]
[4] Kendle, A.M. and Louis, J. (2018) Recognition and Treatment of Sepsis in Pregnancy. Journal of Midwifery & Women’s Health, 63, 347-351. [Google Scholar] [CrossRef] [PubMed]
[5] Filetici, N., Van De Velde, M, Roofthooft, E. and Devroe, S. (2022) Ma-ternal Sepsis. Best Practice & Research Clinical Anaesthesiology, 36, 165-177. [Google Scholar] [CrossRef] [PubMed]
[6] 隋峰, 姚文鹏, 耿墨钊, 等. 妊娠期弥散性血管内凝血的临床诊疗进展[J]. 医学综述, 2022, 28(2): 313-320.
[7] Plante, L.A. (2016) Management of Sepsis and Septic Shock for the Obstetrician-Gynecologist. Obstetrics and Gynecology Clinics of North America, 43, 659-678. [Google Scholar] [CrossRef] [PubMed]
[8] Chiu, C. and Legrand, M. (2021) Epidemiology of Sepsis and Sep-tic Shock. Current Opinion in Anaesthesiology, 34, 71-76. [Google Scholar] [CrossRef
[9] 龚晓莹, 臧彬. 产科相关弥散性血管内凝血如何诊断和处理[J]. 中国实用内科杂志, 2021, 41(6): 475-479.
[10] Thompson, K., Venkatesh, B. and Finfer, S. (2019) Sepsis and Septic Shock: Current Approaches to Management. Internal Medicine Journal, 49, 160-170. [Google Scholar] [CrossRef] [PubMed]
[11] 田焕焕, 田霞霞, 徐强, 等. 液体过负荷对感染性休克患者预后的影响[J]. 滨州医学院学报, 2022, 45(2): 120-123.
[12] Font, M.D., Thyagarajan, B. and Khanna, A.K. (2020) Sepsis and Septic Shock—Basics of Diagnosis, Pathophysiology and Clinical Decision Making. Medical Clinics of North America, 104, 573-585. [Google Scholar] [CrossRef] [PubMed]
[13] Shields, A., De Assis, V. and Halscott, T. (2021) Top 10 Pearls for the Recognition, Evaluation, and Management of Maternal Sepsis. Obstetrics & Gynecology, 138, 289-304. [Google Scholar] [CrossRef
[14] Venkatesh, B., Finfer, S., Cohen, J., et al. (2018) Adjunc-tive Glucocorticoid Therapy in Patients with Septic Shock. New England Journal of Medicine, 378, 797-808. [Google Scholar] [CrossRef
[15] 赵先兰, 房玉捷. 孕产妇感染性休克61例临床分析[J]. 国际妇产科学杂志, 2019, 46(1): 67-70.