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目的 了解妇科恶性肿瘤在发生发展中其血液系统的变化及诱发DIC的关系。方法 选择近 2a除绒癌外妇科肿瘤 38例 ,其中宫颈癌 16例 ,卵巢癌 13例 ,子宫内膜癌 6例 ,外阴癌 3例 ,临床分期Ⅰ～Ⅳ期。手术前均做血液学检测 ,并统计手术中出血量。结果 38例妇科恶性肿瘤患者 ,术前血液检测异常 5例 ,占 13 2 % ,其中卵巢癌 3例 ,宫颈癌 1例 ,外阴癌 1例。分期为Ⅱa～Ⅳ期。 38例术中出血量平均为 130 0ml。其中 2例卵巢癌术后当夜发生DIC ,1例抢救成功 ,1例死亡。结论 妇科肿瘤有潜在性的血液系统变化 ,与DIC的发生密切相关。预防DIC和妇科恶性肿瘤的治疗应同步进行
Objective To understand the changes of hematological system and the relationship between DIC and the development of gynecological malignancies. Methods Thirty-eight cases of gynecological tumors were selected, including 16 cases of cervical cancer, 13 cases of ovarian cancer, 6 cases of endometrial carcinoma, 3 cases of vulvar cancer, and clinical stage Ⅰ-Ⅳ. Hematology tests were performed before surgery, and statistics of bleeding during surgery. Results 38 cases of gynecological malignant tumors, preoperative blood test abnormalities in 5 cases, accounting for 132%, of which 3 cases of ovarian cancer, cervical cancer in 1 case, 1 case of vulvar cancer. Staging Ⅱ a ~ Ⅳ period. The average blood loss in 38 cases was 130 0ml. Two cases of ovarian cancer occurred DIC night after operation, one case was successfully treated and one case died. Conclusions Gynecologic tumors have potential changes in the blood system, which are closely related to the occurrence of DIC. Prevention of DIC and gynecological malignancies should be carried out simultaneously