<シンポジウムII>DICの治療
<追加発言>
重症熱傷時のDICと治療
重症熱傷時のDICと治療
1982 年 23 巻 6 号 p. 836-842
詳細
1982 年 23 巻 6 号 p. 836-842
Blood coagulation and fibrinolysis system in 26 patients affected with severe burn was examined. Fourteen cases of the patients demonstrated clinical and laboratory findings of consumption coagulopathy (C. C.), while 12 cases did not. Following conclusions were obtained from such clinical survey.
1) The parients with “severe” burns (third degree burn occupied more than 30% of the body surface, and with concurrent shock) showed high possibility to cause C. C.
2) Therapy for C. C. in severe burns should be started when the patients showed signs of severity as infancy, aging, the third degree burns, and more than 50% of body surface burned. Such cases showed worse prognostic rate due to C. C.
3) Transfusion for the severe burns improved C. C. Baxter method which involves frozen plasma and low molecular weight dextran was found effective. Transfusion should be started as soon as possible.
4) Heparin treatment improved the condition in some extent.
