• Am. J. Hematol. · Sep 1998

    Review

    Disseminated intravascular coagulation: clinical and laboratory aspects.

    • M J Carey and G M Rodgers.
    • Department of Pathology, University of Utah Health Sciences Center, Salt Lake City 84132, USA.
    • Am. J. Hematol. 1998 Sep 1; 59 (1): 65-73.

    AbstractDisseminated intravascular coagulation (DIC) is a complex acquired coagulopathy resulting from excessive thrombin formation. Abnormal tissue factor (TF) expression is a major mechanism initiating DIC in many disorders, including obstetrical complications, sepsis, cancer, and trauma. Numerous laboratory tests are available to monitor DIC, but most patients are adequately managed using only routine hemostasis screening tests, and assays for fibrinogen and D-dimer. Treatment of DIC should focus on reversing the underlying disorder initiating the coagulopathy. Novel treatments are being investigated for treating DIC; many of these experimental modalities target the excessive TF activity that characterizes DIC.

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