Nakagawa M
Second Department of Medicine, Kyoto Prefectural University of Medicine.
Nihon Rinsho. 1993 Jan;51(1):87-92.
Pathophysiology of DIC varies with underlining diseases but its precipitating factor is accepted to be mainly as an accerelation of blood coagulation. From these back grounds it is indicated that the removal of the original pathogenetic factor is important as the first step of treatment, and at the same time the anticoagulant treatment has been also advised as a fundamental remedy against this disease state. For this purpose, heparin, low molecular weight heparin, heparinoid, or antithrombin III has been used so far on the clinical practice. However their beneficial effects or efficasies have not been established yet. This paper reports the pharmacological properties of these anticoagulants and some data of their clinical evaluations.
弥散性血管内凝血(DIC)的病理生理学因潜在疾病而异,但其促发因素主要被认为是凝血加速。基于这些背景,表明消除原始致病因素作为治疗的第一步很重要,同时抗凝治疗也被建议作为针对这种疾病状态的基本疗法。为此,迄今为止在临床实践中已使用肝素、低分子量肝素、类肝素或抗凝血酶III。然而,它们的有益效果或疗效尚未得到证实。本文报告了这些抗凝剂的药理特性及其临床评估的一些数据。