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[抗弥散性血管内凝血治疗]

[Anti DIC therapy].

作者信息

Yahata Mayuko, Sakamoto Yuichiro

出版信息

Nihon Rinsho. 2016 Feb;74(2):257-61.

Abstract

A variety of disorders erratically activate coagulation cascades. The disseminated intravascular coagulation (DIC) is caused by unbalanced activation between coagulation and fibrinolysis. Some of auxiliary treatments for DIC on top of main therapy against causative disease are beneficial in terms of better outcome. The anticoagulation therapy is indicated when an activation of coagulation dominates in DIC caused by sepsis. Whereas in DIC associated with trauma, since balance between coagulation and fibrinolysis collapses drastically in a short period, both anticoagulantion therapy and antifibrinolytic therapy can be utilized depending on clinical conditions. There are quite a few of anti DIC agents in Japan. It is imperative to choose appropriate agents to treat DIC taking their pharmacological properties into account.

摘要

多种病症会不规则地激活凝血级联反应。弥散性血管内凝血(DIC)是由凝血与纤溶之间的不平衡激活所致。在针对病因性疾病的主要治疗基础上,DIC的一些辅助治疗对于改善预后有益。当脓毒症所致DIC中凝血激活占主导时,需进行抗凝治疗。而在与创伤相关的DIC中,由于凝血与纤溶之间的平衡在短时间内急剧崩溃,可根据临床情况同时使用抗凝治疗和抗纤溶治疗。日本有不少抗DIC药物。必须考虑其药理特性来选择合适的药物治疗DIC。

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