The Effect of Nafamostat Mesilate for the Treatment of Disseminated Intravascular Coagulation after Surgery Using Cardiopulmonary Bypass.
10.4326/jjcvs.23.33
- VernacularTitle:体外循環後の汎血管内凝固症候群に対するｎａｆａｍｏｓｔａｔ ｍｅｓｉｌａｔｅ（ＦＵＴ）の効果
- Author:
Hirono Satokawa
;
Fumio Iwaya
;
Tsuguo Igari
;
Kenichi Hagiwara
;
Masahiro Tanji
;
Masaaki Watanabe
;
Hirohumi Midorikawa
;
Yoichi Sato
;
Shinya Takase
;
Shunichi Hoshino
- Publication Type:Journal Article
- Keywords:
nafamostat mesilate
- From:Japanese Journal of Cardiovascular Surgery
1994;23(1):33-37
- CountryJapan
- Language:Japanese
-
Abstract:
To investigate the effect of nafamostat mesilate (FUT) for disseminated intravascular coagulation (DIC) after surgery using cardiopulmonary bypass, we studied DIC scores and parameters of coagulation and fibrinolysis in the DIC cases. Although 12 patients developed DIC, the platelet counts improved by administration of FUT apart from one complicated by sepsis. The DIC scores decreased as a result of the increase of platelets and fibrinogen and improvement of FDP. Thrombin-antithrombin III complex, D-dimer and plasmin-α2 plasmin inhibitor complex showed an even higher value at the endpoint of FUT administration. These results indicate that patients with DIC after cardiopulmonary bypass may have severe fibrinolytic acceleration and that administration of FUT can be useful in those cases.
