Yoon Sung Ho, Cho Young Sin, Park Chi Young, Chung Choon Hae
Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Korea.
Korean J Intern Med. 2004 Jun;19(2):134-6. doi: 10.3904/kjim.2004.19.2.134.
Disseminated intravascular coagulation (DIC) is an acquired coagulation disorder that occurs when the normal hemostatic balance is disturbed, primarily by excessive thrombin formation. Moreover, while DIC is a rare complication of aortic dissecting aneurysm, it is also a well-recognized one. We reported a case of DIC associated with aortic dissecting aneurysm in a 55-year-old woman who was transferred from another hospital because of chest pain radiating to her back and thrombocytopenia. Laboratory findings showed DIC with severe thrombocytopenia, and she was diagnosed as having an acute aortic dissection and DIC. After medical treatment on the aortic dissecting aneurysm, her DIC profile recovered.
弥散性血管内凝血（DIC）是一种获得性凝血障碍，当正常止血平衡受到干扰时发生，主要是由于凝血酶过度生成。此外，虽然DIC是主动脉夹层动脉瘤的一种罕见并发症，但也是一种广为人知的并发症。我们报告了一例55岁女性患者，她因胸痛放射至背部和血小板减少症从另一家医院转诊而来，被诊断为患有与主动脉夹层动脉瘤相关的DIC。实验室检查结果显示为伴有严重血小板减少症的DIC，她被诊断为患有急性主动脉夹层和DIC。在对主动脉夹层动脉瘤进行药物治疗后，她的DIC指标恢复正常。
