目的探讨产科弥散性血管内凝血(DIC)的临床特点及诊治策略。方法对我院2003年1月～2009年7月收治的16例产科DIC患者的临床资料进行回顾性分析。结果 DIC的发生与严重产科并发症,如重度胎盘早剥、子痫前期、子宫破裂、产后出血、羊水栓塞、妊娠期急性脂肪肝等有关。16例患者中抢救成功11例,死亡5例,剖宫产10例,子宫切除9例,围生儿死亡10例。结论产科DIC发病急骤、病情凶险、母儿死亡率高。早期诊断、正确治疗、及时终止妊娠是抢救DIC的关键。 Objective To investigate the clinical features and diagnosis and treatment strategies of obstetric disseminated intravascular coagulation (DIC). Methods The clinical data of 16 obstetric DIC patients admitted to our hospital from January 2003 to July 2009 were analyzed retrospectively. Results DIC occurred with serious obstetric complications such as severe placental abruption, preeclampsia, uterine rupture, postpartum hemorrhage, amniotic fluid embolism, acute fatty liver during pregnancy and so on. Of the 16 patients, 11 were successfully rescued, 5 died, 10 were cesarean, 9 were hysterectomized, and 10 were perinatal. Conclusions Obstetric DIC has a sudden onset, dangerous condition and high maternal and child mortality. Early diagnosis, correct treatment, timely termination of pregnancy is the key to rescue DIC.