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目的:探讨小剂量肝素结合中药及成分输血治疗弥漫性血管内凝血(DIC)的疗效及安全性。方法:对24例DIC患者,给予小剂量肝素结合活血化瘀中药复方丹参及成分输血等综合治疗。结果:24例DIC患者中,3例死亡,(占12.5%),21例完全恢复或存活,(占87.5%)。完全恢复或存活患者,其出血症状多于治疗后5~10d左右消失,最晚治疗后20d消失。除血小板计数恢复不一外,出凝血指标多于1周左右恢复正常。结论:小剂量肝素结合活血化瘀中药及成分输血等综合疗法,是DIC治疗的较好方法,有较高的疗效及安全性。
Objective: To investigate the efficacy and safety of low dose heparin combined with traditional Chinese medicine and component transfusion in the treatment of diffuse intravascular coagulation (DIC). Methods: 24 cases of DIC patients were given low-dose heparin combined with activating blood circulation and blood stasis medicine compound salvia miltiorrhiza composition and blood transfusion and other comprehensive treatment. Results: Of the 24 DIC patients, 3 died (12.5%), 21 completely recovered or survived (87.5%). Complete recovery or survival of patients, the bleeding symptoms more than 5 ~ 10d after treatment disappeared, the latest 20d disappear after treatment. In addition to platelet count recovery is not the same, the coagulation index returned to normal more than 1 week. Conclusion: The combination of low-dose heparin with traditional Chinese medicine of promoting blood circulation and removing blood stasis and blood transfusion of composition is a better method of DIC treatment with higher curative effect and safety.