| Score |
---|---|
1. Underlying diseases | Â |
 a. Placental abruption |  |
  Stiffening of the uterus, death of the fetus | 5 |
  Stiffening of the uterus, survival of the fetus | 4 |
  Confirmatory diagnosis of placental abruption by ultrasonic tomographic findings and CTG findings | 4 |
 b. Amniotic fluid embolism |  |
  Acute cor pulmonale | 4 |
  Artificial ventilation | 3 |
  Assisted respiration | 2 |
  Oxygen flux alone | 1 |
 c. DIC-type postpartum hemorrhage |  |
  In case the blood from the uterus has low coagulability | 4 |
  Hemorrhage of >2000 mL (within 24 hours after the start of hemorrhage) | 3 |
  Hemorrhage of 1000–2000 mL (within 24 hours after the start of hemorrhage) | 1 |
 d. Eclampsia |  |
  Eclamptic attack | 4 |
 e. Severe infection |  |
  Those with fever accompanied by shock, bacteremia, and endotoxemia | 4 |
  Continued fever or remittent fever | 1 |
 f. Other underlying diseases | 1 |
2. Clinical symptoms | Â |
 a. Acute renal failure |  |
  Anuria (<5 mL/hour) | 4 |
  Oliguria (5–20 mL/hour) | 3 |
 b. Acute respiratory failure (amniotic fluid embolism excluded) |  |
  Artificial ventilation or occational assisted respiration | 4 |
  Oxygen flux alone | I |
 c. Organ failure |  |
  Heart (rales or foamy sputum, etc.) | 4 |
  Liver (visible jaundice, etc.) | 4 |
  Brain (clouding of consciousness, convulsion, etc.) | 4 |
  Digestive tract (necrotic enteritis, etc.) | 4 |
  Other severe organ failure | 4 |
 d. Hemorrhage diathesis |  |
  Macroscopic hematuria and melena, purpura, etc. | 4 |
 e. Shock symptoms |  |
  Pulse rate ≥100/minute | 1 |
  Blood pressure ≤90 mm Hg (systolic) or reduction ≥40 % | 1 |
  Cold sweat | 1 |
  Pallor | 1 |
3. Laboratory findings | Â |
  Serum FDP ≥10 pg/mL | 1 |
  Platelet counts ≤100 × 109/L | 1 |
  Fibrinogen ≤150 mg/dL | 1 |
  PT ≥15 seconds (≤50 %) or hepaplastin test ≤ 50 % | 1 |
  Erythrocyte sedimentation rate of ≤4 mm/15 minutes or ≤15 mm/hour | 1 |
  Bleeding time ≥5 minutes | 1 |
  Other coagulation and fibrinolysis factors; |  |
  antithrombin ≤18 mg/dL or ≤60 %, plasminogen, prekallikrein, other factors of ≤50 % | 1 |
Diagnosis | Â |
8–12 points | Suspected DIC |
≥13 points | Definite DIC |