Thachil Jecko, Iba Toshiaki, Scarlatescu Ecaterina, Levy Jerrold H
Juntendo Iji Zasshi. 2024 Mar 28;70(2):121-124. doi: 10.14789/jmj.JMJ24-0005-P. eCollection 2024.
Disseminated Intravascular Coagulation (DIC) has been a common diagnosis made by health care givers since the dawn of the 20 century. However, currently, this diagnosis is entertained rarely in clinical settings that can predispose to this complication. The incidence of four common clinical scenarios traditionally associated with DIC, sepsis, trauma, obstetrical disorders, and cancers, are on the increase due to better diagnostics and management strategies, but DIC is rarely diagnosed in these disease categories currently. The authors suggest the rarity of a DIC diagnosis is due to varied understanding of the pathophysiology of this condition. In this perspectives, we would like to present reasons for this change in consideration and encourage caregivers to consider a DIC diagnosis at an early stage based on new criteria to help patients benefit from available treatments.
自20世纪初以来，弥散性血管内凝血（DIC）一直是医护人员常见的诊断。然而，目前在可能引发这种并发症的临床环境中，这种诊断很少被考虑。由于诊断和管理策略的改进，传统上与DIC相关的四种常见临床情况，即败血症、创伤、产科疾病和癌症的发病率正在上升，但目前在这些疾病类别中很少诊断出DIC。作者认为DIC诊断罕见是由于对这种疾病病理生理学的理解存在差异。从这个角度来看，我们想阐述这种变化的原因，并鼓励医护人员根据新的标准在早期考虑DIC诊断，以帮助患者从现有治疗中获益。
