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作者结合最近1例播散性血管内凝血(DIC)的治疗经验,对DIC的一般治疗作了讨论。一、DIC的诊断: 患有可能引起DIC的妇产科并发病,如发生全身出血倾向及受累器官的功能障碍时,即应考虑有DIC的可能,并需迅速作下述的化验检查。 1.血沉:是一种重要而简单的检查,DIC时由于纤维蛋白原减少,血沉常减慢。 2.出血时间:DIC多延长。 3.全血凝固时间和血栓弹力图(TEG):重症患者全血凝固时间延长甚至不凝或虽有凝血块也很脆弱,较快地出现全部或部分溶解,表明有低纤维蛋白原血症,纤维蛋白溶解活性亢进。TEG实验有助于全面了解凝血和纤溶的过程。 4.纤维蛋白(原)降解产物(FDP):纤溶亢进时,纤维蛋白(原)经纤溶酶作用使FDP显
In the light of recent treatment experience of disseminated intravascular coagulation (DIC), the authors discuss the general management of DIC. First, the diagnosis of DIC: Obstetrics and Gynecology may cause DIC and may lead to complications, such as the occurrence of systemic bleeding tendency and impaired organ involvement, which should consider the possibility of DIC, and should be promptly for the following laboratory tests. 1. ESR: is an important and simple examination, DIC due to fibrinogen reduction, ESR often slow down. 2. Bleeding time: prolonged DIC. 3. Whole blood clotting time and thrombus elasticity map (TEG): Severe patients with whole blood coagulation time does not extend or even coagulation, although the clot is also very fragile, all or part of the faster dissolution, indicating low fibrinogen , Hypertrophy of fibrinolytic activity. TEG experiments help to fully understand the process of coagulation and fibrinolysis. 4. Fibrinogen (original) degradation products (FDP): fibrinolysis hyperthyroidism, fibrin (the original) by the role of plasmin FDP significant