DIC-syndrome - yog ib qho mob ntawm cov txheej txheem tawm hauv kev tawm tsam intravascular - ua txhaum ntawm hemostasis, thaum hloov hauv cov ntshav coagulability. Cov kab ua rau cov pawg micro thiab cov aggregates ntawm cov qe ntshav dawb yog qhov ua rau ua rau tsis zoo ntawm cov microcirculation thiab dystrophic hloov hauv lub nruab nrog cev, ua rau kev tsim hypocoagulation, thrombocytopenia thiab los ntshav.
Ua rau kev txhim kho ntawm DIC syndrome
DIC-syndrome tsis yog ib qho kabmob txawv thiab tsim tawm tsam cov keeb kwm ntawm cov mob hauv qab no:
- cov khoom ntim thaum lub sijhawm yug menyuam, kev rho menyuam tawm thiab lub catheterization ntev ntawm cov hlab ntsha loj;
- kev mob ntawm cov hlab ntsha, cov kab mob qog thiab cov kev tiv thaiv kab mob hauv lub nruab nrog thaum lub sijhawm phais mob los yog cov vascular prosthetics;
- pathologies nyob rau hauv obstetrics thiab gynecology, hauj lwm tus me nyuam;
- poob siab mob, los ntawm kev raug mob, cardiogenic, hemorrhagic thiab lwm yam mob;
- ntshav kab mob ntshav (myeloma, erythremia);
- Malignant formations nyob rau hauv ntsws ntaub, prostate thiab pancreas;
- autoimmune kab mob (lupus erythematosus, glomerulonephritis , hemorrhagic vasculitis);
- hemolysis nrog kev kub hnyiab;
- qhov txhab zoo li thaum tus nab venom nkag mus rau hauv cov ntshav;
- kev siv tshuaj ntev uas ua rau cov ntshav khov thiab ua rau platelet tsim.
Cov tsos mob ntawm DIC syndrome
Qhov chaw kho mob DIC syndrome muaj feem rau kab mob uas ua rau muaj qhov mob no.
Mob DIC-syndrome tau tshwm sim ua ib qho kev poob siab uas tau ua los ntawm kev ua txhaum tag nrho cov kev sib txuas ntawm hemostasis.
Muaj mob DVS-syndrome muaj kev nce zuj zus hauv cov kev mob tshwm sim nrog cov paib:
- hypovolemia (txo cov ntshav ntim hauv cov hlab ntsha);
- dystrophic organ damage;
- teeb meem ntawm kev ua metabolic.
Thaum lub caij DIC-syndrome, cov theem ua haujlwm yog:
- Hauv thawj theem, hypercoagulation thiab hyperaggregation ntawm platelets tshwm sim.
- Hauv ob theem, muaj cov kev hloov hauv ntshav khaus (hypercoagulation los yog hypocoagulation).
- Hauv peb theem, cov ntshav ceases los cev qhuav dej txhua.
- Hauv plaub theem, hemostatic tsis ua los yog cev nqaij daim tawv tau tshwm sim rau kev tuag.
- Qib plaub yog pom zoo.
Kev kuaj ntawm ICE-syndrome
Feem ntau, qhov kev ntsuam xyuas yog tsim los ntawm thawj qhov kev qhia ntawm DIC syndrome. Txawm li cas los, nyob rau hauv ib tug xov tooj ntawm cov kab mob (piv txwv li, nyob rau hauv leukemia, lupus erythematosus), kev tshawb nrhiav yog nyuaj. Nyob rau hauv xws li no, kuaj kev kuaj mob ntawm DIC syndrome no, uas muaj:
- nrhiav tau cov ntshav nce ntshav;
- ntshav khov kuaj thiab lub sijhawm prothrombin;
- kuaj xyuas cov kev ua txhaum nyob rau hauv qhov kev sib nkag siab ntawm tromboelastogram;
- kev kuaj mob paracoagulation.
Kev kho thiab kev tiv thaiv ntawm DIC syndrome
Kev kho mob ntawm DIC syndrome, raws li txoj cai, yog ua nyob rau hauv qhov kev pabcuam khomob uas loj heev thiab yog xav kom tshem tawm cov ntshav txhaws ua, tiv thaiv kev tsim tawm ntawm cov ntshav txhaws qaib, thiab tswj kev hloov ntshav thiab tswj kev hemostasis. Tsis tas li ntawd, kev kho siab ntau yog ua kom tshem tus neeg mob los ntawm lub xeev lub cev, Tshuaj tua kab mob los yog lwm yam kev siv tshuaj tua kab mob yuav ua rau kom tsis txhob muaj kab mob hauv lub cev. Cov neeg tuaj kho mob yuav tsum tau qhia cov tshuaj anticoagulant, disaggregant, fibrinolytic thiab kev kho qhov kev hloov.
Hauv cov mob ICE-syndrome, piv txwv li, hauv cov neeg mob uas tsis muaj mob plab, qhov kev siv plasmaphoresis zoo heev. Nws muaj nyob rau hauv qhov tseeb hais tias tus neeg mob yog npaum li cas 600 ml ntawm ntshav, uas yog hloov los ntawm kev npaj ntawm freshly frozen plasma. Txoj kev
Kev tiv thaiv ntawm DIC syndrome yog feem ntau xav kom tshem tawm qhov ua rau ua rau nws txoj kev loj hlob. Ntawm cov kev ntsuas tiv thaiv:
- kev phais mob phais, ua los ntawm txoj kev tsis sib haum xeeb;
- kev kho mob siab qib siab;
- kev tiv thaiv ntawm snake tom thiab mob hnyav heev;
- Xam tag nrho ntawm anticoagulants nyob rau hauv kev kho mob ntawm kis kab mob, thiab lwm yam.