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婴儿及新生儿的弥散性血管内凝血。眼部表现。

Disseminated intravascular coagulation in infancy and in the neonate. Ocular findings.

作者信息

Ortiz J M, Yanoff M, Cameron J D, Schaffer D

出版信息

Arch Ophthalmol. 1982 Sep;100(9):1413-5. doi: 10.1001/archopht.1982.01030040391002.

Abstract

We report two cases of neonatal disseminated intravascular coagulation (DIC). One case is associated with placenta previa and respiratory distress, and the other shows hemorrhage with Gram-negative sepsis. In both cases, results of autopsy show microscopic confirmation of DIC in several body tissues. One pair of eyes demonstrates intraocular hemorrhages and intravascular fibrin in the choriocapillaris (a typical manifestation) and intravascular fibrin in the ciliary body vessels of one eye. In addition, the other pair of eyes shows involvement of iris vessels, a unique finding, as is intraretinal intravascular fibrin in one eye of the same patient.

摘要

我们报告两例新生儿弥散性血管内凝血(DIC)。一例与前置胎盘和呼吸窘迫有关,另一例表现为革兰氏阴性菌败血症伴出血。在这两例中,尸检结果均显示在多个身体组织中显微镜下证实存在DIC。一对眼睛显示脉络膜毛细血管内有眼内出血和血管内纤维蛋白(典型表现),以及一只眼睛的睫状体血管内有血管内纤维蛋白。此外,另一对眼睛显示虹膜血管受累,这是一个独特的发现,同一患者的一只眼睛视网膜内血管也有纤维蛋白。

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