急性白血病并发弥漫性血管内凝血的临床分析

目的：探讨急性白血病(AL)并发弥漫性血管内凝血(DIC)的临床特点及诊治经过。方法：回顾性总结分析AL并发DIC18例，全部病例在治疗原发病的基础上加强抗感染、抗凝、小剂量肝素及必要时补充凝血因子等措施。结果：合并DIC者治疗1-2d死亡7例，3-7d死亡3例，治愈8例。结论：DIC是AL(特别是APL)最严重并发症之一，且常为AL(APL)致死的直接原因。及DIC多发于病情危重，严重感染及疾病晚期，积极治疗原发病，去除病因，是抢救DE成功的关键因素。

Clinical Signifcance with DIC in Acute Leukemia

Objective:To evaluate the clinical signifcance and diagnose of DIC in patients with acute leukamia.Methods:Analyzed 18 cases acute leukemia with DIC.All case is infect to resist to strengthen on the basis of treating and the originally illness,anticoagulatorg, and give low dose heparin.Results:The AL patients with DIC to treat 18 cases,7 casesdead in 1-2 day,3 cases dead in 3-7 day,8 cases cure.Conclusion:DIC is one of the most serious complications of AL(especially APL), and often for AL(APL)immediate cause to cause death. and DIC pilosity critical on condition,serious infection and later period of AL,tread the originally illness actively,is a key factor of rescuina DIC success to dispel the cause of disense.