重症中暑相关性DIC的早期诊断再思考

苏磊; 彭娜; 陈文达

doi:10.13201/j.issn.1004-2806.2018.01.002

重症中暑相关性DIC的早期诊断再思考

- 广州军区广州总医院(广州, 510010)
基金项目:
国家自然科学基金青年科学基金项目(No:81701892)

中国博士后科学基金面上项目(No:2017M622737)

广东省自然科学基金博士启动项目(No:2016A030310288)

详细信息

通讯作者: 苏磊,E-mail:slei_icu@163.com

中图分类号: R554.8

收稿日期: 2017-12-15

Rethinking of early diagnosis of disseminated intravascular coagulation associated with severe heatstroke

More Information

Corresponding author: SU Lei, E-mail: slei_icu@163.com

Received Date: 15 December 2017

摘要

- 中暑 /
- 凝血紊乱 /
- 弥散性血管内凝血 /
- 诊断
- heatstroke /
- coagulant disorders /
- disseminated intravascular coagulation /
- diagnosis

HTML全文

参考文献(30)

[1]	晏晨, 魏捷, 田丹, 等.快速急诊内科评分和改良早期预警评分对重症中暑患者预后判断的比较研究[J].临床急诊杂志, 2017, 18 (9):655-658.
[2]	殷惠梅, 童华生.血小板损伤与中暑发病机制的研究进展[J].临床急诊杂志, 2017, 18 (5):342-344.
[3]	Misset B, De Jonghe B, Bastuji-Garin S, et al.Mortality of patients with heatstroke admitted to intensive care units during the 2003heat wave in France:A national multiple-center risk-factor study[J].Crit Care Med, 2006, 34:1087-1092.
[4]	Easterling DR, Meehl GA, Parmesan C, et al.Climate extremes:observations, modeling, and impacts[J].Science, 2000, 298:2068-2074.
[5]	Wada H, Matsumoto T, Yamashita Y, et al.Disseminated intravascular coagulation:testing and diagnosis[J].Clin Chim Acta, 2014, 436:130-134.
[6]	al-Mashhadani SA, Gader AG, al Harthi SS, et al.The coagulopathy of heat stroke:alterations in coagulation and fibrinolysis in heat stroke patients during the pilgrimage (Haj) to Makkah[J].Blood Coagul Fibrinolysis, 1994, 5:731-736.
[7]	Toh CH, Alhamdi Y, Abrams ST.Current pathological and laboratory considerations in the diagnosis of disseminated intravascular coagulation[J].Ann Lab Med, 2016, 36:505-512.
[8]	Leon LR, Bouchama A.Heat stroke[J].Compr Physiol, 2015, 5:611-647.
[9]	Aird WC.Endothelium as an organ system[J].Crit Care Med, 2004, 32 (5Suppl):S271-S279.
[10]	Shieh SD, Shiang JC, Lin YF, et al.Circulating angiotensin-converting enzyme, von Willebrand factor antigen and thrombomodulin in exertional heat stroke[J].Clin Sci (Lond), 1995, 89:261-265.
[11]	Huisse MG, Pease S, Hurtado-Nedelec M, et al.Leukocyte activation:the link between inflammation and coagulation during heatstroke.A study of patients during the 2003 heat wave in Paris[J].Crit Care Med, 2008, 36:2288-2295.
[12]	Roberts GT, Ghebeh H, Chishti MA, et al.Microvascular injury, thrombosis, inflammation, and apoptosis in the pathogenesis of heatstroke:a study in baboon model[J].Arterioscler Thromb Vasc Biol, 2008, 28:1130-1136.
[13]	Bouchama A, Knochel JP.Heat stroke[J].N Engl J Med, 2002, 346:1978-1988.
[14]	Asakura H.Classifying types of disseminated intravascular coagulation:clinical and animal models[J].J Intensive Care, 2014, 2:20.
[15]	Bouchama A, Roberts G, Al Mohanna F, et al.Inflammatory, hemostatic, and clinical changes in a baboon experimental model for heatstroke[J].J Appl Physiol, 2005, 98:697-705.
[16]	Dematte JE, O'Mara K, Buescher J, et al.Near-fatal heat stroke during the 1995heat wave in Chicago[J].Ann Intern Med, 1998, 129:173-181.
[17]	Shibolet S, Fisher S, Gilat T, et al.Fibrinolysis and hemorrhages in fatal heatstroke[J].N Engl J Med, 1962, 266:169-173.
[18]	Bouchama A, Bridey F, Hammami MM, et al.Activation of coagulation and fibrinolysis in heatstroke[J].Thromb Haemost, 1996, 76:909-915.
[19]	Takemitsu T, Wada H, Hatada T, et al.Prospective evaluation of three different diagnostic criteria for disseminated intravascular coagulation[J].Thromb Haemost, 2011, 105:40-44.
[20]	梅恒, 胡豫.《中国弥散性血管内凝血诊断积分系统》解读[J].临床血液学杂志, 2017, 30 (7):495-498.
[21]	Gando S, Saitoh D, Ogura H, et al.A multicenter, prospective validation study of the Japanese Association for Acute Medicine disseminated intravascular coagulation scoring system in patients with severe sepsis[J].Crit Care, 2013, 17:R111.
[22]	Dempfle CE.Comparing DIC scores:not an easy task indeed[J].Thromb Res, 2009, 124:651-652.
[23]	Asakura H, Takahashi H, Uchiyama T, et al.DIC subcommittee of the Japanese Society on Thrombosis and Hemostasis.Proposal for new diagnostic criteria for DIC from the Japanese Society on Thrombosis and Hemostasis[J].Thromb J, 2016, 14:42.
[24]	LancéMD.A general review of major global coagulation assays:thrombelastography, thrombin generation test and clot waveform analysis[J].Thromb J, 2015, 13:1.
[25]	Ganter MT, Hofer CK.Coagulation monitoring:current techniques and clinical use of viscoelastic pointof-care coagulation devices[J].Anesth Analg, 2008, 106:1366-1375.
[26]	Wan P, Tong HS, Zhang XQ, et al.Diagnosis of overt disseminated intravascular coagulation in critically ill adults by Sonoclot coagulation analysis[J].Int J Hematol, 2014, 100:125-131.
[27]	Wan P, Yu M, Qian M, et al.Sonoclot coagulation analysis:a useful tool to predict mortality in overt disseminated intravascular coagulation[J].Blood Coagul Fibrinolysis, 2016, 27:77-83.
[28]	Wada H, Hatada T, Okamoto K, et al.Modifed non-overt DIC diagnostic criteria predict the early phase of overt-DIC[J].Am J Hematol, 2010, 85:691-694.
[29]	Wada H, Matsumoto T, Hatada T.Diagnostic criteria and laboratory tests for disseminated intravascular coagulation[J].Expert Rev Hematol, 2012, 5:643-652.
[30]	Wu Y, Luo L, Niu T, et al.Evaluation of the new Chinese Disseminated Intravascular Coagulation Scoring System in critically ill patients:A multicenter prospective study[J].Sci Rep, 2017, 7:9057.