Malý J, Pecka M, Pidrman V, Bláha M, Siroký O, Jebavý L
2. katedra vnitrních oborů, LF UK, Hradec Králové.
Cas Lek Cesk. 1994 Dec 5;133(23):719-22.
The syndrome of disseminated intravascular coagulation (DIC) is an acquired coagulation disorder which is characterized by a significant activation of haemostasis and the formation of intravascular microthrombi, the consumption of coagulation factors and activation of fibrinolysis. DIC has similar clinical stages and a similar laboratory picture, regardless of the causal factor. The diagnosis of DIC should be based on anamnestic, clinical and laboratory data. The laboratory diagnosis of DIC is possible by using relatively simple tests, which have the character of statim examinations. DIC treatment is based on the principle of treatment of the cause, discontinued consumption of haemostatic material, substitution of lacking factors and restoration of the microcirculation. The possible development of DIC must be taken into account in a number of acute conditions, in particular the development of shock syndrome. The presented article summarizes some views on causes, diagnosis and possible treatment of DIC.
弥散性血管内凝血(DIC)综合征是一种获得性凝血障碍,其特征是止血显著激活、血管内微血栓形成、凝血因子消耗以及纤溶激活。无论病因如何,DIC都有相似的临床阶段和实验室检查结果。DIC的诊断应基于病史、临床和实验室数据。通过使用具有即时检验特点的相对简单的测试,可以进行DIC的实验室诊断。DIC的治疗基于治疗病因、停止消耗止血物质、补充缺乏的因子以及恢复微循环的原则。在许多急性病症中,特别是休克综合征的发展过程中,必须考虑到DIC可能的发展。本文总结了关于DIC病因、诊断和可能治疗方法的一些观点。