Diagnosis and treatment of severe perioperative infection complicated with DIC

VernacularTitle:重症胆道感染围手术期合并弥散性血管内凝血的诊断和治疗
Author: Yong LI ; Liting JIN ; Xiansong FENG
Publication Type:Journal Article
Keywords: Infection biliary; Disseminated intravascular coagulation; Therapy
From: Chinese Journal of Hepatobiliary Surgery 2009;15(1):28-30
CountryChina
Language:Chinese
Abstract: Objective To discuss the early diagnosis of severe perioperative biliary infection complicated with DIC and efficacy of comprehensive treatment for it. Methods Comprehensive treat-ment was conducted in 21 patients who had intensive biliary infection complicated with DIC. The he-moglutination function was monitored before and after treatment. Results Of the 21 patients, 19 were cured and 2 dead. The curative rated was 90.5 %. The hemorrhage tendency was controlled, abdomi-nal bleeding stopped, prothrombin time (PT) obviously reduced, content of fibrinogen (Fbg)in-creased, level of D-dimer and FDPs obviously dropped. Conclusion The patients who have biliary in-fection in the perioperative period are easy to suffer from DIC and the mortality is high. Early diagno-sis and comprehensive therapy, especially the application of the cryofibrinogen and heparin, are very important.