Morishita Y, Tabata F, Saigenji H, Taira A
J Cardiovasc Surg (Torino). 1986 Nov-Dec;27(6):731-3.
Disseminated intravascular coagulopathy (DIC) was demonstrated in a patient who underwent surgical thromboexclusion by blood flow reversal for dissecting aortic aneurysm. Large clots in the descending thoracic aorta and extra-anatomic bypass grafting might have been causative factors of the consumption coagulopathy. Low-dose heparin together with fresh-frozen plasma was effective; however, extreme caution should be adopted with such patients to minimize the development of DIC, because the factors responsible for the coagulation abnormalities are not removed in patients who undergo the surgical treatment of thromboexclusion.
一名因主动脉夹层动脉瘤接受血流逆转手术血栓清除术的患者出现了弥散性血管内凝血（DIC）。胸降主动脉内的大血栓和解剖外旁路移植术可能是消耗性凝血病的致病因素。低剂量肝素联合新鲜冷冻血浆有效；然而，对此类患者应极其谨慎，以尽量减少DIC的发生，因为在接受血栓清除术的患者中，导致凝血异常的因素并未消除。
