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弥散性血管内凝血及相关综合征:病因、病理生理学、诊断与管理

Disseminated intravascular coagulation and related syndromes: etiology, pathophysiology, diagnosis, and management.

作者信息

Bick R L

出版信息

Am J Hematol. 1978;5(3):265-82. doi: 10.1002/ajh.2830050311.

Abstract

Disseminated intravascular coagulation (DIC) is being recognized with increased frequency and not only are newer diagnostic modalities becoming available for this syndrome, but newer, some controversial, methods of management are also being recognized and may prove to increase survival in DIC. In addition, several syndromes classically considered separate, definitive disease entities, may actually share similar or identical pathophysiology to DIC. This review summarized current, as well as controversial aspects of etiology, pathophysiology, clinical and laboratory diagnosis, and management of DIC. In addition, a brief discussion of syndromes which may share similar or identical pathophysiology to DIC is included.

摘要

弥散性血管内凝血(DIC)的诊断频率日益增加。不仅有针对该综合征的新型诊断方法问世,而且一些新的、存在争议的治疗方法也逐渐得到认可,并且可能会提高DIC患者的生存率。此外,一些传统上被认为是独立的、明确的疾病实体的综合征,实际上可能与DIC具有相似或相同的病理生理学机制。本文综述了DIC病因、病理生理学、临床和实验室诊断以及治疗等方面的现状和存在争议的问题。此外,还简要讨论了可能与DIC具有相似或相同病理生理学机制的综合征。

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