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[病理学家实践中的弥散性血管内凝血]

[Disseminated intravascular coagulation in the practice of the pathologist].

作者信息

Kan'shina N F

出版信息

Arkh Patol. 1979;41(5):86-91.

PMID:378195
Abstract

Disseminated intravascular coagulation (DIC) of blood develops as a result of a sharp increase in the release of thromboplastic substances. The mechanism of disseminated thrombosis is switched in at the level of the microcirculatory bed with defibrination of the peripheral blood and subsequent hemorrhages and bleedings. The causes of DIC development may include complications of pregnancy and delivery, different kinds of shock including endotoxin shock, hemorrhage, hemolysis. Histomorphological findings in DIC are as follows: hemorrhagic syndrome, fibrin thrombi in capillaries, arterioles and venules of the skin, kidneys, adrenals, hypophysis, gastrointestinal tract, lungs and other organs followed by necroses and hemorrhages in these organs. Clinically, DIC is manifested by symptoms of insufficiency of the affected organs (acute renal insufficiency, Waterhouse-Fridericksen syndrome, etc).

摘要

血液中弥散性血管内凝血(DIC)是由于促凝物质释放急剧增加而发生的。弥散性血栓形成机制在微循环床水平启动,伴有外周血纤维蛋白溶解,随后出现出血和渗血。DIC发生的原因可能包括妊娠和分娩并发症、各种休克(包括内毒素休克)、出血、溶血。DIC的组织形态学表现如下:出血综合征、皮肤、肾脏、肾上腺、垂体、胃肠道、肺及其他器官的毛细血管、小动脉和小静脉内有纤维蛋白血栓形成,随后这些器官出现坏死和出血。临床上,DIC表现为受累器官功能不全的症状(急性肾功能不全、华-佛综合征等)。

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