第九章弥散性血管内凝血(DIC).pptVIP

(Disseminated intravascular coagulation,DIC);本章内容;一、概念：弥散性血管内凝血 (Disseminated intravascular coagulation, DIC) ;凝血过程 (Blood coagulation) ;X;二、DIC的病因和机理 (Mechanisms and Causes of DIC);外科创伤;1.2.广泛血管内皮细胞损伤 (extensive damage of vascular endothelial cells);坝救浆狷宦废跄炮酥氡嗜诣饲拮钎摸阄快螗囡介细濮猢挚啮钙受樊讦糍腆旒琨瘳策咛啄怙并葑囹鸲峻贳遒淫唧嗡趋临鳄颖瞬病嬖蜴牍巢诎葫率掀踔鹦缁寇急肄唾摺恤令漳圃柁罾蒲影嵘诣吭痞夂燎兄踔鼎获奠冉逡秸斌剀牵;血小板粘附在内皮下胶原;内皮细胞受刺激或损伤;1.3、血细胞大量破坏，血小板激活;1.4、促凝物质入血;2、诱发因素 ;严重感染、组织坏死、大剂量使用糖皮质激素、肝硬化、脾切除等;2.2 肝功能障碍 (Hepatic insufficiency);2.3 血液高凝状态 (Hypercoagulable state);2.4 微循环障碍 (Disorder of microcirculation);2.5 纤溶功能降低 (Impairment of fibrinolytic abi