弥散性血管内凝血诊断标准:问题与期望  

Diagnostic criteria for disseminated intravascular coagulation:problems and expectations

作　　者：胡紫薇[1] 马晓春[1] HU Zi-wei;MA Xiaochun(Department of Intensive Care Unit,the First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院重症医学科,辽宁沈阳110001

出　　处：《中国实用内科杂志》2021年第6期457-461,共5页Chinese Journal of Practical Internal Medicine

基　　金：辽宁省科技厅重点研发计划(2020JH2/10300010);沈阳市重症医学临床医学研究中心(20-204-4-41)。

摘　　要：弥散性血管内凝血(disseminated intravascular coagulation,DIC)的发生机制复杂,致病因素不同,其对应的病理生理机制及临床特点也存在很大差异,DIC的诊断是目前临床存在的一个难题。虽然现存很多DIC诊断标准,但是各自存在一定的局限性,目前仍缺乏DIC诊断的金标准。因此文章将从DIC提出的背景、DIC诊断标准及评价、DIC诊断标准对于COVID-19导致的凝血功能障碍是否适用以及对DIC诊断标准的未来期望做一评述。The pathogenesis of disseminated intravascular coagulation(DIC)is complex,with different pathogenic factors.The corresponding pathophysiological mechanism and clinical characteristics are also very different.The diagnosis of DIC is a difficult problem in clinical practice.Although there are many diagnostic criteria for DIC,each has some limitations,and there is still a lack of gold standard for DIC diagnosis.Therefore,this article will review the background of DIC,the diagnostic criteria and evaluation of DIC,the applicability of DIC diagnostic criteria for coagulation dysfunction caused by COVID-19,and the future expectation of DIC diagnostic criteria.

关 键 词：弥散性血管内凝血 诊断标准 COVID-19凝血病 

分 类 号：R554.8[医药卫生—血液循环系统疾病]