与麻醉复苏相关的血液学问题

来源 :国外医学.麻醉学与复苏分册 | 被引量 : 0次 | 上传用户:pzl_530
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一、弥漫性血管内凝血(DIC) DIC是由于凝血系统被激活形成全身性微血栓,伴有血小板、血浆凝血因于及抑制因子消耗的一种中间反应。可发生于各种危重疾病病人。常个并继发性纤维蛋白溶解(纤溶)。正常毛细血管中存在微量的血管内凝血,已为同位素标记的抗凝血酶测定其凝血酶—抗凝血酶复合物所证实。自身稳定限制性反应,能控制这种微量的血管内凝血。过多被激活的凝血因子或自身稳定系统失调,将继续加重DIC,形成的纤维蛋白沉积在局 First, diffuse intravascular coagulation (DIC) DIC is due to the activation of the coagulation system to form systemic micro-thrombosis, associated with platelets, plasma coagulation and inhibition of factor depletion of an intermediate reaction. Can occur in a variety of critically ill patients. Often and secondary fibrinolytic (fibrinolysis). There is a slight amount of intravascular coagulation in normal capillaries, as evidenced by the determination of its thrombin-antithrombin complex for isotopically-labeled antithrombin. Its own stable and restrictive response, can control this trace of intravascular coagulation. Too much activated coagulation factor or self-stabilizing system disorders will continue to aggravate DIC, forming fibrin deposition in the Council
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