Study on clinical, paraclinical characteristics and treatment of coagulation disorder on patients with septic shock
- Author:
Nguyen Manh Hung
- Publication Type:Journal Article
- Keywords:
Coagulation disorder, septic shock
- MeSH:
Blood Coagulation Disorders;
Shock, Septic;
Clinical Medicine;
Therapeutics
- From:Journal of Practical Medicine
2005;515(7):15-17
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Prospective study was carried out on 30 septic shock patients admitted to the emergency and intensive care unit of Bach Mai hospital from March 2004 to November 2004. Results: coagulation disorder rate accounted for 93.3% of patients including 50% with DIC (disseminated intravascular coagulation) and 43.3% with another coagulation disorders. Patients with DIC had a significant higher rates of multiple organs failure and mortality as compared without DIC (87% and 73.3% vs. 67% and 53.3%, respectively). DIC contributed to multiple organ failure and increase mortality rate. Management of coagulation disorder included replace therapy of fresh plasma (90%) and platelet block (30%) with a dose lower than recommended. Results of coagulation tests after treatment were likely to improve but not yet significantly.
