DICDisseminated intravascular coagulation

4A2 2006-7-1

DIC

Thromboplastin-like

DIC

1

Systemic activation of coagulation systemdiffuse thrombosishemolysisthrombolysis

Excessive consumption of coagulation factor >70bleeding tendency

()

1. thrombosisMOF

2. ()

2

DIC

tissue factor DIC :

ARDS

DIC

DICPT/PTT fibrinogenfactor 5

8 FDPD-Ddimmer3P test +

3

DIC ALP PT/PTT

fibrinogen factor 58

FDPD-Ddimmer3P test +

DICPT/PTT

fibrinogenfactor 58

D-Ddimmer3P test +

DIC PT/PTT Low antithrombin

Low fibrinogen

58FDP10- 20mg/mlpositive 3P Test

High D-D dimmer concertration DIC

DIC :

: SIRSDIC

(MODS)

SIRSDICMODS

DIC DIC

4

PLTFFPCryo

Heparin therapy heparin

2,0000U/24hrs

DIC heparin

fibrinolytic process

transamin

FOY thrombin and PLT aggregation 20-40mg/kg/24hr

5