弥散性血管内凝血39例临床分析

目的:探讨急诊ICU患者发生弥散性血管内凝血(DIC)临床诊疗对策。方法:对我院急诊ICU收治的39例DIC患者的临床特点进行回顾性分析。结果:急诊ICU患者发生DIC原发病多样、危重,多器官功能障碍综合征(MODS)并发率高,临床表现复杂多样;DIC确诊常为中晚期;病死率高。结论:重视原发病,密切观察早期DIC诊断指标常规检测,早发现、早治疗,有效终止病因是的键所在。同时危重病患者综合治疗至关重要。

The Clinical Analysis of 39 Patients with Disseminated Intravascular Coagulation

Objctive: To investigate the clinical strategy of diagnosis and treatment of the patients in ICU with disseminated intravascular coagulation (DIC) Methods: The data of clinical characteristics of patients in ICU were retrospectively analyed Results: The original diseases accounting for DIC were various and severe The multiple organ dysfunction syndromes (MODS) are likely to happen in those patients with DIC, which resulted in the various clinical manifestations Furthermore, the mortality of patient with DIC is extremely high because in most of the cases DIC cannot be early detected until the late phase Conclusion: Early detecting DIC via routine examination, early treating and cutting the pathophysiological path leading to the DIC is the key point to prevent the occurrence of severe DIC Meanwhile, it is very important to manage the patients with DIC through integrated therapy