Disseminated intravascular coagulation. Complication of LeVeen peritoneovenous shunts.
Disseminated intravascular coagulation. Complication of LeVeen peritoneovenous shunts.
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弥散性血管内凝血。
DOI：
10.1001/jama.1978.03290190042026
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发表时间：
1978
期刊：
影响因子：
--
通讯作者：
L. R. Guercio
中科院分区：
文献类型：
--
作者：
R. Lerner;John Nelson;Peter Corines;L. R. Guercio
因顽固性腹水插入 LeVeen 分流器后，五名患者中的三名发生了弥散性血管内凝血 (DIC)。这些患者有四次 DIC 发作，严重程度从进行性危及生命到短暂无症状不等。两名患者的分流中断使 DIC 停止。分流器插入后仔细监测 DIC 可以做出合理的决定，以保护患者免受危及生命的出血或血栓形成。在试验性静脉输注腹水期间，两名患者发生了弥散性血管内凝血，即使修改了手术程序以尽量减少腹水输注的体积和速度，一名患者也发生了弥散性血管内凝血。
Disseminated intravascular coagulation (DIC) occurred in three of five patients after insertion of a LeVeen shunt for intractable ascites. Four episodes of DIC in these patients ranged in severity from progressive and life-threatening to transient and asymptomatic. Interruption of the shunt in two patients stopped the DIC. Careful monitoring for DIC following shunt insertion allows rational decisions to protect the patient against life-threatening hemorrhage or thrombosis. Disseminated intravascular coagulation occurred in two patients during a trial intravenous infusion of ascites and occurred in one patient even when the surgical procedure was modified to minimize the volume and rate of the infused ascites.