DIC late postpartum hemorrhage underwent hysterectomy in 1 case report.doc

DIC late postpartum hemorrhage underwent hysterectomy in 1 case report [Keywords:] postpartum hemorrhage with disseminated intravascular coagulation hysterectomy About 1 case Maternal, 31 years old. For “22 days after cesarean section and vaginal bleeding 1 day” was at 3:35 on September 26 2008 .8 28 hospitalized due to “scar the uterus” cesarean section in our hospital, surgery Chengshun Li, lochia lasted 10 days clean, 25 March .9 no incentive vaginal bleeding, menstrual approximately equal to the amount of .26 at 3:00 am without treatment, vaginal bleeding, menstrual flow is about 3 times color red, no pain, no dizziness, discomfort and admitted to our hospital, check: T 36.3 , P 84 times / min, R 20 times / min, BP 14/9kPa, heart and lungs were normal. See a rampage about the lower abdomen 14cm surgical scar, the wound healed well. perineal pad see large bright red blood, accompanied by a blood clot, anterior uterus, uterine size, such as 3 + months pregnant, no other special. blood: Hb 109g / L, PLT 301 109 / L, B ultrasound showed Palace size 90mm 62mm 51mm, lower segment myometrium anterior echo uneven. contractions after admission given to promoting anti-inflammatory treatment, at 8:30 on September 26 rounds, the patient complained of dizziness discomfort, vaginal bleeding, no less, now B-guided curettage, surgery see about 150ml of the vagina and cervix blood clots and clear blood clot vagina and cervix product, see the activity at the cervix with blood flow, uterine anterior , soft, deep exploration Palace 11cm, B ultrasound-guided, with a small curette the posterior wall of the palace along the uterine cavity, scuffing the uterine cavity, scrape a little blood clot, about 5g. intrauterine feeling smooth, soft uterine wall, acute check blood Hb 89g / L, PLT 240 109 / L, 3P test (-, intraoperative pathological examination is a blood clot scrapings organization. In order to further find causes of bleeding as soon as bleeding, Sharp laparotomy.