论文部分内容阅读
弥散性血管内凝血(DIC)是许多疾病重要的病理生理环节。近年来对其认识有了很大提高,本文就其临床研究的若干进展作一简述。一、DIC 与脏器病变(一)多脏器衰竭(Multiple organfailure,MOF):MOF 是继发于外伤、烧伤、消化道出血、癌症、手术、感染等而发生肺、肝、肾、消化道等重要脏器或一个系统内2个以上器官同时发生功能衰竭的临床综合征。1973年Tilney 等首次报道,近年已引起重视。DIC 时广泛范围的组织和脏器发生的小灶性坏死和出血,被看作是MOF 发病的一个主要原因或加剧因子。(二)成人呼吸窘迫综合征(AdultRespiratory Distrees Syndrome, ARDS):ARDS 是近年被注目的病态综合征,有关
Disseminated intravascular coagulation (DIC) is an important pathophysiology of many diseases. In recent years, its understanding has greatly improved, this paper gives a brief account of some of its clinical progress. First, DIC and organ disease (a) multiple organ failure (Multiple organfailure, MOF): MOF is secondary to trauma, burns, gastrointestinal bleeding, cancer, surgery, infection and other lung, liver, kidney, gastrointestinal And other important organs or a system of more than two organs at the same time functional failure clinical syndrome. Tilney and other first reported in 1973, in recent years has drawn great attention. Small focal necrosis and hemorrhage in a wide range of tissues and organs at DIC are seen as a major or exacerbating factor in the development of MOF. (B) adult respiratory distress syndrome (AdultRespiratory Distrees Syndrome, ARDS): ARDS is in recent years, the attention of the sick syndrome, related to