Usheva R
Vutr Boles. 1986;25(4):77-83.
The incidence and forms of DIC-syndrome were studied in 80 patients with myeloma. A battery of hemostatic tests was used, allowing the diagnosis of both the chronic decompensated and compensated forms. The syndrome has been established in 29% of the non-treated patients and becomes more frequent with the advancing of the clinical stage of the disease. Several patients with a rather special clinical course are described. The treatment of the syndrome coincides with the treatment of the basic disease and the concomitant complications, and heparin was administered only in single cases. The pathogenetic mechanisms for advancing of DIC in myeloma are described, associated with the character and peculiarities of the basic disease.
对80例骨髓瘤患者的弥漫性血管内凝血(DIC)综合征的发病率及形式进行了研究。采用了一系列止血测试,以诊断慢性失代偿型和代偿型。在29%的未治疗患者中确诊了该综合征,且随着疾病临床分期的进展其发生率更高。描述了几名具有相当特殊临床病程的患者。该综合征的治疗与基础疾病及伴随并发症的治疗一致,仅在个别病例中使用了肝素。描述了骨髓瘤中DIC进展的发病机制,其与基础疾病的特征和特点相关。