弥散性血管内凝血诊断评分系统的实用性。

The utility of a diagnostic scoring system for disseminated intravascular coagulation.

机构信息

Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

出版信息

Crit Care Clin. 2012 Jul;28(3):373-88, vi. doi: 10.1016/j.ccc.2012.04.004.

DOI:10.1016/j.ccc.2012.04.004

PMID:22713612

Abstract

Disseminated intravascular coagulation (DIC) is an acquired syndrome characterized by microvascular thrombosis resulting from systemic activation of coagulation, and it should be diagnosed and treated as early as possible. No single test is sufficiently accurate to establish or rule out a diagnosis of DIC. Therefore, diagnostic scoring uses a combination of several laboratory tests. Three diagnostic scoring systems are now available and validated. Because it is not easy to assess the superiority or inferiority of these scoring systems, it may be better to select the scoring system depending on the need for an early or affirmative diagnosis of DIC.

摘要

弥散性血管内凝血（DIC）是一种获得性综合征，其特征是由于全身凝血系统激活导致微血管血栓形成，应尽早诊断和治疗。没有任何一项单一的检查能够足够准确地确诊或排除 DIC。因此，诊断评分采用了几种实验室检查的组合。目前有三种诊断评分系统已得到验证。由于评估这些评分系统的优劣并不容易，因此，根据早期或明确诊断 DIC 的需要选择评分系统可能更好。