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[感染新生儿的弥散性血管内凝血]

[Disseminated intravascular coagulation in newborn infants with infection].

作者信息

Misharev O S, Ivanov E P, Dmitriev V V, Surovaia N A, Iagur G F

出版信息

Pediatriia. 1989(6):42-6.

PMID:2762053
Abstract

The treatment of disseminated intravascular coagulation (DIC) in infants with sepsis should be instituted after multimodality therapy of pyo-inflammatory diseases taking into account the degree of hemostatic disorders. In stage I DIC (hypercoagulation one), it is necessary to reach an adequate level of the inhibitors of the thrombin and plasmin systems. In this case it is quite sufficient to use donor's cryoplasma without heparin administration. In stage II DIC (transitory one) and stage III (hypocoagulation one), it is required that the drugs possessing antithrombin and antiplasmin activity, substitution therapy with blood preparations and components as well as measures to control hemorrhagic diathesis may be used.

摘要

对于患有败血症的婴儿,弥散性血管内凝血(DIC)的治疗应在对脓性炎症性疾病进行多模式治疗后,根据止血障碍的程度来开展。在DIC的第一阶段(高凝阶段),有必要使凝血酶和纤溶酶系统的抑制剂达到足够的水平。在这种情况下,使用供体冷沉淀血浆而不给予肝素就足够了。在DIC的第二阶段(过渡阶段)和第三阶段(低凝阶段),可能需要使用具有抗凝血酶和抗纤溶活性的药物、血液制品和成分的替代疗法以及控制出血素质的措施。

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