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综述:传染病与凝血障碍

Review: infectious diseases and coagulation disorders.

作者信息

van Gorp E C, Suharti C, ten Cate H, Dolmans W M, van der Meer J W, ten Cate J W, Brandjes D P

机构信息

Slotervaart Hospital, Department of Internal Medicine/Infectious Diseases, 1066 EC Amsterdam, The Netherlands.

出版信息

J Infect Dis. 1999 Jul;180(1):176-86. doi: 10.1086/314829.

Abstract

Infection, both bacterial and nonbacterial, may be associated with coagulation disorders, resulting in disseminated intravascular coagulation and multiorgan failure. In the last few decades a series of in vivo and in vitro studies has provided more insight into the pathogenetic mechanisms and the role of cytokines in these processes. Because of the growing interest in this field, the complexity of the subject, and the fact that many physicians must deal with a variety of infections, current data are reviewed on the association between infectious diseases and the coagulation system. Novel therapeutic intervention strategies that will probably become available in the near future are mentioned, along with those of special interest for infectious disorders for which only supportive care can be given.

摘要

感染,包括细菌感染和非细菌感染,可能与凝血功能障碍有关,进而导致弥散性血管内凝血和多器官功能衰竭。在过去几十年中,一系列体内和体外研究对这些过程中细胞因子的致病机制和作用有了更深入的了解。由于该领域的兴趣日益浓厚、主题复杂,以及许多医生必须应对各种感染,本文回顾了关于传染病与凝血系统之间关联的现有数据。文中提到了可能在不久的将来可用的新型治疗干预策略,以及对于那些只能给予支持性治疗的感染性疾病具有特殊意义的策略。

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