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多发伤患者出现DIC的早期诊断和治疗 被引量:1

Early Diagnosis and Treatment of Dissminalted Intravascular Coagulation in Patients with Multiple Trauma
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摘要 目的观察52例多发伤患者弥散性血管内凝血的早期诊断及早期给予血小板、冷沉淀、凝血酶原复合物、血浆、肝素治疗的临床效果。方法对多发伤患者早期进行血小板计数、凝血功能、D-二聚体检查,对合并DIC的52例患者根据其血小板计数、凝血功能给予血小板、冷沉淀、凝血酶原复合物、血浆、肝素治疗并观察治疗后1天患者的血小板计数、凝血功能。结果治愈46例,死亡6例,治愈率88.5%。52例患者输注血小板、冷沉淀、凝血酶原复合物、血浆、肝素治疗后1天与输注前相比,患者的血小板计数明显增加,凝血酶原时间(PT)明显缩短,纤维蛋白原(Fbg)含量增加。结论对多发伤并发DIC患者早期输注血小板、冷沉淀、凝血酶原复合物、血浆、肝素等综合治疗可有效阻止DIC的继续发展,重建凝血机制,恢复机体功能。 Objective To study the early diagnosis and treatment in multiple trauma patients with DIC.Methods Multipletrauma patients were investigated levels of platelet count(PLAT),D-2dimer(DD),prothrombin time(PT),activated partial thromboplastin time(A PTT),fibrinogen(FBG),52 cases with DIC,according to the given blood clotting,cold precipitation,platelet、Human prothrombin complex,plasma,heparin and observation of 1 day after treatment with blood clotting,platelet counts.Results In 52 patients with DIC,46 patients were cured and 6 patients died,52 patients after treatment compared with 1 days before infusion of platelet count,patients significantly increased,and prothrombin time(PT) significantly shortened,fibrinogen(Fbg) content increased.Conclusion Multiple trauma patients with DIC gave early diagnosis and treatment can effectively prevent DIC’s continued development,rebuilding blood coagulation mechanism,restore body function.
作者 陈培莉
出处 《医药论坛杂志》 2010年第23期54-55,共2页 Journal of Medical Forum
关键词 多发伤 DIC 诊断 治疗 Multiple trauma; DIC; Diagnosis; Treatment;
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