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弥散性血管内凝血62例临床分析
引用本文:孟哲,梁立阳,薛红漫,麦友刚,陈环,李文益.弥散性血管内凝血62例临床分析[J].岭南急诊医学杂志,2006,11(2):107-108.
作者姓名:孟哲  梁立阳  薛红漫  麦友刚  陈环  李文益
作者单位:中山大学附属第二医院儿科,510120
摘    要:目的:探讨儿童弥散性血管内凝血(DIC)的诱因、实验室检查、诊断及治疗。方法:回顾性分析1991~2005年共15年来住院诊断本病患儿62例的临床资料。结果:在积极治疗原发病、肝素抗凝等综合治疗下,除9例放弃治疗外,53例坚持治疗,治愈37例(69.8%),死亡16例(30.2%)。结论:结合临床表现、实验室检查做到早期诊断,以肝素抗凝为主的综合治疗,有助于提高DIC治愈率。

关 键 词:弥散性血管内凝血  D二聚体  肝素
收稿时间:2005-10-26
修稿时间:2005-10-26

Clinical Investigation of 62 Cases of Disseminated Intravascular Coagulation
MENG Zhe,LIANG Li-yang,XUE Hong-man,MAI You-gang,CHEN Huan,LI Wen-yi.Clinical Investigation of 62 Cases of Disseminated Intravascular Coagulation[J].Lingnan Journal of Emergency Medicine,2006,11(2):107-108.
Authors:MENG Zhe  LIANG Li-yang  XUE Hong-man  MAI You-gang  CHEN Huan  LI Wen-yi
Institution:Department of Pediatric, The Second Affiliated Hospital of Sun Yat-sen University, Guanzhou, 510120
Abstract:Objective: To investigate the inducement, laboratory examinations, diagnosis and treatment in disseminated intravascular coagulation in children. Method: Collected 62 cases of this disease in the past fifteen years from 1991 to 2005 in our hospital, and analyzed these clinical data retrospectively. Result: As the original diseases were treated actively, the comprehensive treatment by using heparin etc. was applied, Except 9 cases had given up treatment, 37 of 53 cases treated (69.8%) were cured and 16 cases(30.6%) died. Conclusion: Early diagnosis by combining clinical manefestation and laboratory examinations,and the comprehensive treatment by using heparin as a major anticoagulant will raise the cure rate of DIC
Keywords:disseminated intravascular coagulation  D-dimmer  heparin
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