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出血是重型肝炎重要死亡原因。弥散性血管内凝血(DIC)导致出血是重型肝炎严重合并征之一。现将我们对8例重型肝炎合并DIC诊断治疗体会介绍如下。 1 临床资料 1.1 一般情况:慢性重型肝炎6例,亚急性重型肝炎1例,急性重型肝炎1例。男性6例,女性2例,平均年龄30.20±16.67岁。7例存在各种感染,其中自发性腹膜炎3例,肠道感染2例,肺部感染2例,2例合并感染性休克,1例存在低钠血症,血钠118mmol/L。 1.2 DIC诊断标准与结果:按照Colman标准:(1)血小板进行性减少或<50×10~9/L;(2)凝
Bleeding is an important cause of death from severe hepatitis. Diffuse intravascular coagulation (DIC) causes bleeding is one of the serious complications of severe hepatitis. Now we have 8 cases of severe hepatitis DIC diagnosis and treatment experience described below. 1 Clinical data 1.1 General situation: 6 cases of chronic severe hepatitis, subacute severe hepatitis in 1 case, acute severe hepatitis in 1 case. 6 males and 2 females, with an average age of 30.20 ± 16.67 years. Seven cases had various infections, including 3 cases of spontaneous peritonitis, 2 cases of intestinal infection, 2 cases of pulmonary infection, 2 cases of combined septic shock, 1 case of hyponatremia, serum sodium 118mmol / L. 1.2 DIC diagnostic criteria and results: According to Colman criteria: (1) progressive reduction of platelets or <50 × 10 ~ 9 / L; (2) coagulation