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目的:探讨高海拔地区重症监护治疗室(ICU)患者发生弥散性血管内凝血(DIC)的临床特点及诊治对策。方法:对本院综合ICU2005年3月—2008年3月间收治的DIC患者原发病及并发症、临床表现、DIC确诊时间、治疗、病死率等临床特点进行分析。结果:高原ICU内DIC是常见的并发症。临床表现复杂多样,DIC确诊时间多为中晚期;治疗困难病死率高。结论:ICU医生在积极治疗原发病的同时对DIC保持高度警惕性,争取对高危患者常规行DIC前状态(pre-DIC)指标及早期DIC诊断指标检测,以便早发现、早治疗。降低死亡率,同时重视危重患者的综合治疗。
Objective: To investigate the clinical features and diagnosis and treatment of disseminated intravascular coagulation (DIC) in intensive care unit (ICU) at high altitude. Methods: The clinical features of primary disease, complications, clinical manifestations, DIC diagnosis time, treatment, mortality and other clinical characteristics of DIC patients admitted to our hospital from March 2005 to March 2008 were analyzed. Results: DIC in the plateau ICU was a common complication. Complex and diverse clinical manifestations, DIC diagnosis of mostly in the late; treatment of high mortality. CONCLUSIONS: ICU physicians are highly vigilant toward DIC while actively treating the primary disease, and strive to routinely perform pre-DIC and early DIC diagnostic tests in high-risk patients for early detection and early treatment. Reduce mortality, while focusing on the comprehensive treatment of critically ill patients.