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本组47例严重、急性弥漫性血管内凝血(DIC)诊断标准为:(1)除DIC外无可引起低纤维蛋白原血症的原因,除非有肝功能不全的病人不能排除;(2)凝血酶原时间(PT)、活化的部分凝血活酶时间(APTT)、血小板数和纤维蛋白原裂解产物检验至少有两项异常;(3)有在短期内触发DIC的一种或多种诱发因素存在。如果持续时间短,则分类为急性。感染、休克、创伤,肝病和恶性疾患为常见诱因。常规治疗包括积极治疗原发病,立即纠正休克、酸中毒、电解质失衡、低氧血症、尿毒症和其他代谢紊乱;显著出血给予相应的血液制品,PT和APTT异
The group of 47 patients with severe, diffuse intravascular coagulation (DIC) diagnostic criteria for: (1) in addition to DIC can cause hypofibrinogenemia reasons, unless patients with liver dysfunction can not rule out; (2) Prothrombin time (PT), activated partial thromboplastin time (APTT), platelet count, and fibrinogen lysate were tested for at least two abnormalities; (3) there was one or more triggers that triggered DIC in the short term Factors exist. If the duration is short, it is classified as acute. Infection, shock, trauma, liver disease and malignant diseases are common causes. Routine treatment includes active treatment of primary disease, immediate correction of shock, acidosis, electrolyte imbalance, hypoxemia, uremia and other metabolic disorders; significant bleeding given to the corresponding blood products, PT and APTT differences