[Obstetric complications associated with DIC. Importance of D-dimer in the diagnosis and treatment. A clinical case].
The case of a 32-year old woman with 36-week pregnancy presented at hospital because of spontaneous vaginal bleeding, anemia and mild hypotension is reported. Fetal mors in utero, abruptio placentae and diffuse intravascular coagulation were diagnosed. The patient subsequently underwent cesarean section and large retroplacental hematoma was removed and obviously fetum. The DIC was easily controlled by means of recently introduced method of determination of fibrin D-dimer.
Maione
M
M
Unità Operativa di Anestesia e Rianimazione, USL n. 21 del Casentimo, Regione Toscana.
Ozzola
G
G
Fabbrini
G P
GP
Grassi
P
P
Mazzi
C
C
Nannicini
P
P
Tonelli
R
R
D000037:Abruptio Placentae / Q000150:complications / Q000175:diagnosis; D000328:Adult; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005313:Fetal Death / Q000175:diagnosis / Q000209:etiology*; D005338:Fibrin Fibrinogen Degradation Products / Q000627:therapeutic use*; D006406:Hematoma / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D012187:Retroperitoneal Space / Q000601:surgery
D000933:Antifibrinolytic Agents; D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
Complicanze ostetriche associate a DIC. Importanza del D-dimero nella diagnosi e nel trattamento. Caso clinico.