Kardaszewicz E, Bujak M, Spychałowicz W, Siudyka A, Harbut-Gryłka A
I Kliniki Chorób Wewnetrznych Sl. AM.
Pol Tyg Lek. 1990;45(12-13):257-9.
Two cases of the acute disseminated intravascular coagulation (DIC) are presented. DIC in the first case was diagnosed in healthy pregnant woman without any obstetric pathology. This patient recovered completely. The acute DIC in another patient preceded the acute promyelocytic leukemia. The patient died despite a control of DIC. DIC therapy included antifibrinolytic agents and additionally corticoids in pregnant patient. Heparin was not administered because of post partum period and foreseen cytostatic therapy in the leukemic patient.
本文报告了两例急性弥散性血管内凝血(DIC)病例。第一例DIC发生在一名无任何产科病理情况的健康孕妇身上。该患者完全康复。另一例患者的急性DIC先于急性早幼粒细胞白血病出现。尽管DIC得到了控制,但该患者仍死亡。DIC的治疗包括抗纤维蛋白溶解剂,对于孕妇还额外使用了皮质类固醇。由于处于产后阶段且预计白血病患者需要进行细胞毒性治疗,因此未使用肝素。