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目的探讨凝血与纤溶系统水平检测对产妇弥漫性血管内凝血诊断中的价值。方法对37例DIC产妇和37例健康产妇的PLT计数、PT、APTT、TT、Fib及D-Dimmer)水平进行比较分析。结果与健康对照组比较,DIC组产妇的PLT计数明显降低(P<0.05),PT、APTT、TT明显延长(P<0.05),FIB明显降低(P<0.05),D-D明显升高(P<0.05)。结论通过凝血与纤溶指标检测可以了解机体的血液凝固状态,预测微血栓的形成和出血倾向的发生,对预测产妇DIC的发生、发展及诊断治疗有重要的指导意义。
Objective To investigate the value of coagulation and fibrinolytic system in the diagnosis of diffuse intravascular coagulation in maternal. Methods The PLT count, PT, APTT, TT, Fib and D-Dimmer levels in 37 DIC women and 37 healthy women were compared and analyzed. Results Compared with healthy control group, the PLT count of DIC group was significantly lower (P <0.05), PT, APTT and TT were significantly prolonged (P <0.05), FIB was significantly lower (P <0.05) 0.05). Conclusion Coagulation and fibrinolysis can detect the state of blood coagulation, predict the formation of microthrombus and the tendency of hemorrhage. It is important to predict the occurrence, development and diagnosis and treatment of DIC.