Arkhangel'skiĭ A V, Kovalev V I
Kardiologiia. 1993;33(8):37-40.
To establish the incidence of the disseminated intravascular coagulation (DIC) syndrome, 76 patients who had died from acute myocardial infarction were clinically and anatomically analysed. The studies indicated that microcirculatory thrombosis in myocardial infarction occurred in the first to early second weeks of its development and localized in minor veins of one organ and only in 21.4% of cases it involved three organs or more. The DIC-syndrome was morphologically evidenced only in 19.1% of the patients having a history of cardiogenic shock. Microcirculatory thrombosis more frequently occurred in females. Old age, persistent hypertension, diabetes mellitus were found to predispose to its development.
为确定弥散性血管内凝血(DIC)综合征的发病率,对76例死于急性心肌梗死的患者进行了临床和解剖学分析。研究表明,心肌梗死中的微循环血栓形成发生在发病后的第一周至第二周早期,局限于一个器官的小静脉,仅21.4%的病例累及三个或更多器官。仅19.1%有心源休克病史的患者在形态学上证实有DIC综合征。微循环血栓形成在女性中更常见。发现老年、持续性高血压、糖尿病易引发其发展。