设计弥散性血管内凝血(DIC)的诊断标准。

Juntendo Iji Zasshi Pub Date : 2023-12-20 eCollection Date: 2023-01-01 DOI:10.14789/jmj.JMJ23-0038-P
Jecko Thachil, Toshiaki Iba
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引用次数: 0

摘要

弥散性血管内凝血(DIC)是各种疾病中常见的严重并发症。目前有多种诊断标准,如国际血栓与止血学会(ISTH)标准、日本血栓与止血学会(JSTH)标准和日本急症医学会(JAAM)标准。由于每种诊断标准都有其固有的优缺点,因此在临床上有可能造成混淆。虽然可以通过制定复杂的标准来提高特异性,但在实践中却需要简单易用的标准。为了利用现成的生物标志物建立实用的标准,ISTH 将重点放在脓毒症引起的 DIC 上,并发布了脓毒症诱发凝血病标准(SIC)。类似的方法将有助于构建适合各种特定背景的实用诊断标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Designing the Diagnostic Criteria for Disseminated Intravascular Coagulation (DIC).

Disseminated intravascular coagulation (DIC) is a common and critical complication in various diseases. There are several diagnostic criteria, such as the International Society on Thrombosis and Haemostasis (ISTH) criteria, the Japanese Society on Thrombosis and Hemostasis (JSTH) criteria, and the Japanese Association for Acute Medicine (JAAM) criteria. Due to the strengths and drawbacks inherent in each diagnostic criterion, it has the potential to cause confusion in clinical settings. It is possible to increase the specificity by making a complex criterion but simple and easy-to-use criteria are demanded in practice. To establish pragmatic criteria using readily available biomarkers, the ISTH focused on DIC arising from sepsis and released sepsis-induced coagulopathy criteria (SIC). A similar approach will aid in constructing a practical diagnostic criterion tailored to each specific background.

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