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Another step in improving the diagnosis of disseminated intravascular coagulation in sepsis.改善脓毒症中弥散性血管内凝血诊断的又一步骤。
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2
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Authors' response.作者回复。
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Present and future of anticoagulant therapy using antithrombin and thrombomodulin for sepsis-associated disseminated intravascular coagulation: a perspective from Japan.抗凝血酶和血栓调节蛋白用于脓毒症相关弥散性血管内凝血的抗凝治疗现状与未来：来自日本的观点
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Hemostatic abnormalities in critically ill patients.危重症患者的止血异常
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本文引用的文献

1
A multicenter, prospective validation study of the Japanese Association for Acute Medicine disseminated intravascular coagulation scoring system in patients with severe sepsis.日本急性医学协会弥散性血管内凝血评分系统在严重脓毒症患者中的多中心前瞻性验证研究。
Crit Care. 2013 Jun 20;17(3):R111. doi: 10.1186/cc12783.
2
New insights into pathways that determine the link between infection and thrombosis.关于决定感染与血栓形成之间联系的途径的新见解。
Neth J Med. 2012 Apr;70(3):114-20.
3
The effects of implementation of the Surviving Sepsis Campaign in the Netherlands.荷兰开展脓毒症存活运动的效果。
Neth J Med. 2011 Jun;69(6):292-8.
4
Application of the international normalized ratio in the scoring system for disseminated intravascular coagulation.国际标准化比值在弥散性血管内凝血评分系统中的应用。
J Thromb Haemost. 2010 May;8(5):1116-8. doi: 10.1111/j.1538-7836.2010.03834.x. Epub 2010 Mar 3.
5
Hypocoagulability, as evaluated by thrombelastography, at admission to the ICU is associated with increased 30-day mortality.通过血栓弹力图评估，入住重症监护病房时的低凝状态与30天死亡率增加相关。
Blood Coagul Fibrinolysis. 2010 Mar;21(2):168-74. doi: 10.1097/MBC.0b013e3283367882.
6
Thromboelastography as a better indicator of hypercoagulable state after injury than prothrombin time or activated partial thromboplastin time.与凝血酶原时间或活化部分凝血活酶时间相比，血栓弹力图是损伤后高凝状态更好的指标。
J Trauma. 2009 Aug;67(2):266-75; discussion 275-6. doi: 10.1097/TA.0b013e3181ae6f1c.
7
Disseminated intravascular coagulation in obstetric disorders and its acute haematological management.产科疾病中的弥散性血管内凝血及其急性血液学处理
Blood Rev. 2009 Jul;23(4):167-76. doi: 10.1016/j.blre.2009.04.002. Epub 2009 May 12.
8
Disseminated intravascular coagulation in cancer patients.癌症患者的弥散性血管内凝血
Best Pract Res Clin Haematol. 2009 Mar;22(1):129-36. doi: 10.1016/j.beha.2008.12.005.
9
The scoring system of the Scientific and Standardisation Committee on Disseminated Intravascular Coagulation of the International Society on Thrombosis and Haemostasis: a 5-year overview.国际血栓与止血协会弥散性血管内凝血科学标准化委员会评分系统：五年综述
J Thromb Haemost. 2007 Mar;5(3):604-6. doi: 10.1111/j.1538-7836.2007.02313.x. Epub 2006 Nov 10.
10
Global tests of haemostasis in critically ill patients with severe sepsis syndrome compared to controls.与对照组相比，对患有严重脓毒症综合征的危重症患者进行的全球止血测试。
Br J Haematol. 2006 Oct;135(2):220-7. doi: 10.1111/j.1365-2141.2006.06281.x.

改善脓毒症中弥散性血管内凝血诊断的又一步骤。

Another step in improving the diagnosis of disseminated intravascular coagulation in sepsis.

作者信息

Levi Marcel

出版信息

Crit Care. 2013 Aug 23;17(4):448. doi: 10.1186/cc12859.

DOI:10.1186/cc12859
PMID:24103584
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4056631/
Abstract

The diagnosis of disseminated intravascular coagulation (DIC) based on composite scoring systems using routinely available coagulation tests has been greatly facilitated. Such scoring instruments not only adequately assess the presence of DIC but also have strong prognostic power for morbidity and mortality. In this issue of Critical Care, Gando and colleagues report on the prospective validation of the Japanese Association of Acute Medicine score for DIC in patients with severe sepsis.

摘要

基于常规凝血检测的综合评分系统对弥散性血管内凝血（DIC）的诊断有了很大进展。此类评分工具不仅能充分评估DIC的存在，还对发病率和死亡率具有很强的预后预测能力。在本期《重症监护》中，甘多及其同事报告了日本急性医学协会DIC评分在严重脓毒症患者中的前瞻性验证情况。