Crochemore Tomaz, Nunes Dias Campos Flavia, Menezes Souza Pessoa Camila, Lima Rocha Leonardo, Zanella do Amaral Campos Pedro Paulo, Corrêa Thiago Domingos
Intensive Care Unit Hospital Israelita Albert Einstein São Paulo SP Brazil.
Clin Case Rep. 2017 Mar 31;5(5):701-706. doi: 10.1002/ccr3.912. eCollection 2017 May.
Approximately 25-50% of septic patients develop disseminated intravascular coagulation. The thromboelastometry evaluates whole blood clot formation and dissolution in real time and has been considered for management of bleeding in diverse clinical conditions. We present a case of thromboelastometry-guided bleeding management of a septic shock patient with overt disseminated intravascular coagulation (DIC).
约25%-50%的脓毒症患者会发生弥散性血管内凝血。血栓弹力图可实时评估全血凝血和溶解情况,并已被用于多种临床情况下出血的管理。我们报告一例在血栓弹力图指导下对一名伴有明显弥散性血管内凝血(DIC)的脓毒症休克患者进行出血管理的病例。