弥散性血管内凝血62例临床分析

Clinical Investigation of 62 Cases of Disseminated Intravascular Coagulation

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。

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.