第十二章 血管内弥漫性凝血（The twelfth chapter is intravascular disseminated coagulation）.docVIP

第十二章 血管内弥漫性凝血（The twelfth chapter is intravascular disseminated coagulation） Chapter 12th disseminated intravascular coagulation A, type a problem 2. Abnormal blood coagulation function in dic (0.199, 0.34, 03 clinical) A． Increased blood coagulation d. Blood coagulation decreased first and then increased. b． The coagulation of the blood decreased by E. Blood coagulation increased and decreased simultaneously C． Blood coagulation first increased and then decreased Answer] C In the pathogenesis of DIC, the early coagulation process was activated, the blood was in the high coagulation stage, and a large number of micro-thrombus was formed. With the activation of coagulation process, coagulation substances are consumed continuously, and secondary fibrinolytic activity is continuously enhanced, so the DIC In the late stage, the blood was reduced to a low coagulation state. 3. The basic characteristics of disseminated intravascular coagulation are A． Coagulation factor and platelet activation D. Fibrinolytic b． Prothrombin activation E. Abnormal coagulation function C． Blood coagulation factor and platelet consumption Answer] E [key] The basic characteristic of disseminated intravascular coagulation is abnormal coagulation function, including coagulation factor and platelet stimulation. Live and consume, the activation of prothrombin, the hyperactivity of the fibrinolytic system. 4. The most common disease that causes diffuse intravascular coagulation is A． 败血症 D． Pancreatic cancer b． 宫内死胎 E． Organ transplant C． Extensive burns Answer] A The common diseases that cause disseminated intravascular coagulation are infectious disease, tumor disease, obstetrics and gynecology disease, Trauma and surgery. Among them, infectious diseases ranked first, accounting for about 1/3 of all the original disease. 5. The trigger of exogenous coagulation system is the combination of the tissue factor released by tissue cell injury and the following coagulation factors and start? A． 凝血因子Ⅹ D