A Classification of Consumption Coagulopathy Associated with Abdominal Aortic Aneurysm.
10.4326/jjcvs.26.354
- VernacularTitle:腹部大動脈りゅうに伴う凝固異常の重症度分類 凝固系分子マーカー測定の意義
- Author:
Junichi Utoh
;
Hiraaki Goto
;
Tomomi Hirata
;
Ryuji Kunitomo
;
Masahiko Hara
;
Nobuo Kitamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(6):354-359
- CountryJapan
- Language:Japanese
-
Abstract:
Fifty consecutive patients who underwent elective repair for abdominal aortic aneurysms were preoperatively evaluated on blood coagulation tests and retrospectively classified into three groups. Class I had a normal profile on the tests. Class II had either high FDP (≥20ng/ml), TAT (≥20ng/ml), or positive results on the FM test. Class III had either thrombocytopenia (≤120/μl) or bleeding symptoms with Class II conditions. Operative mortality was 0% (0/26) in Class I, 13% (2/15) in Class II, and 22% (2/9) in Class III patients. This classification is considered to be simple and useful to assess specific coagulopathy for aortic aneurysms.
