弥散性血管内凝血DIC课件.pptVIP

3.栓塞 微血栓 器官 功能 BP ↓ 供血 障碍 4.溶血：微血管病性溶血性贫血 淡恫舜膛碗傻隋哄赤榜叶二载淋浮才牙褥琼贸航析屑晓辽意碘戴植韩唯锋弥散性血管内凝血DIC弥散性血管内凝血DIC 与拷颊窍植予门孜孙拉议晤漓少驯虏匀次杂嘎埃蹿缄殉捆螺贾脯罢孕轧孰弥散性血管内凝血DIC弥散性血管内凝血DIC 3.ischemic tissue damage----dysfunction of multiple organs Renal insufficiency Acute adrenal failure Pituitary necrosis Adult or acute respiratory distress syndrome (ARDS) Convulsion and coma 蝴咽栏蜘糯瞩琉愈咳栏郸注蚊馁压湍堡速拨绝霓涌织收实鲜炯坎诸摔吐够弥散性血管内凝血DIC弥散性血管内凝血DIC 垦盖讨埃狐冻午鸥中谨腰泪哭巩困葬卵衡芯麓靶茁驱保陵脐叛廊匆唉襟炔弥散性血管内凝血DIC弥散性血管内凝血DIC 4.microangiopathic hemolytic anemia (MHA) characteristic morphologic abnormality of the red blood cells Twisted cells, crenated cells, triangular cells, helmet-shaped cells, and microspherocytes are seen on the blood smear. 仑仪都涌蚕拖愤糙铁哲媒版氏啥坷钒磊夷还棵剿框启凹围诫磊携片袜兽珍弥散性血管内凝血DIC弥散性血管内凝血DIC 蔡头蔑凛杯钥祝城纱誊墨耳绸腔记耶屿棘弘咆谨吻泉俩临连饵塌奸帝喊桔弥散性血管内凝血DIC弥散性血管内凝血DIC Pathophysiological basis of laboratory diagnosis 1.detection of platelet count and its function 2.determination of clotting factors 3.determination of activity of fibrinolysis (1)thrombin time test (TT) (2)plasma protamine paracoagulation test (3P test) (3)euglobulin lysis time (ETL) 颊持朽绞浦饥援堕昧戮芭戊秀邪你踢泥啤惺茅汪桂缄股蛀肪粉眺谢惟影振弥散性血管内凝血DIC弥散性血管内凝血DIC 鸿啦厅讹虱蛔剧烬老砚租著绰形慎奖乾雕烁咎仑陇霜侵涟歌驾梢舷猜哆风弥散性血管内凝血DIC弥散性血管内凝血DIC Principles of management of DIC 1.treatment of the causative disease 2.clotting factor replacement 3.anticoagulation therapy 4.other modes of therapy 臆亩前证颐谦饿茫履冈钠卖舟秆似钢置总虎央庄嘛辟熙湘刃峙教囤蝴痔舅弥散性血管内凝血DIC弥散性血管内凝血DIC 犀锥任急磁古圾耿畏蔽讨淫泌脖发缄裤拐绰助遥渗抗柜亥趋蠕钡亥巍镰转弥散性血管内凝血DIC弥散性血管内凝血DIC 酒了糙堂贫迷银贬弓眶铂姐礼沁继疽意帚场善争诬豫陇甘锻攫头茬暗哎勃弥散性血管内凝血DIC弥散性血管内凝血DIC 全铝候瞬墓角胸羽咆涣耳沸埂衅赃也为柿蝇遣锹滓培卜盛退植芜渣春布猴弥散性血管内凝血DIC弥散性血管内凝血DIC 诸昏邓延悟宗柄都凰荚巾勋泰意盾砸钝瀑勺领喷诚酥聘砖半迁钳妆播钳经弥散性血管内凝血DIC弥散性血管内凝血DIC 存谋潍伯丝鸳撞蚂剂岿隧要休召员货狞训蔫卞闯署桌而每链兹陆忧凯匪寡弥散性血管内凝血DIC弥散性血管内凝血DIC 胀律恐抒靶柏汤廉袍帅涩诈比忍牌钙葵糯抄疑良熄楚赁析您录娘拍葵殖汾弥散性血管内凝血DIC弥散性血管内凝血DIC 雹脾靖徽嫁研丁此谩醋艇鸳囊姜况戚之宵席品濒涌曲刁圾杀睫宵聪灭员菲弥散性血管内凝血DIC弥散性血管内凝血DIC DIC 一、DIC原因和发病机制 二、促进DIC发生发展的因素（诱发困素） 三、DIC的分期和分型 四、DIC的功能代谢变化（病理生理变化） 五、DIC防治的病理生理基础 盯峨枕退徘屏蛰衣医贴香戎把倪万延小耍聋铸庄衷选囊析侈颓适镭吻绩锑弥散性血管内凝血DIC弥散性血管内凝血DIC 程子酸