关键词: 弥散性血管内凝血, 危重病人

Abstract:

Prophylaxes and treatment of intraoperative and postoperative DIC in critical patients    CAI Chang-jie, WEI Min. Department of Surgical Intensive Care Units, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Corresponding  author：CAI Chang-jie,E-mail： changjiecai@
hotmail.com
Abstract    Many diseases would become complicated by reason of DIC, especially in critical patients that suffered from operation trauma. Since thrombosis may coexist with hemorrhage in those patients, clinical doctors usually feel awkward. So the mortality is very high. Thus, the prevention of DIC is more important than the treatment to surgical patients. The prevention should be emphasized on decreasing the risk factors of DIC, such as: appropriate collocation of blood product transfusion, anti-inflammatory therapy, and correction of hypothermia, acidosis, massive hemorrhage, infection, blood stasis and so on. When DIC occurs, blood product and heparin could be used in condition, in the basis of treatment of primary diseases. AT and APC could be administered when DIC complicates with sepsis. Anti-fibrinolysis should be used carefully in DIC.

Key words: critical patients, disseminated intravascular coagulation;