Activated protein C does not increase in the early phase of trauma with disseminated intravascular coagulation: comparison with acute coagulopathy of trauma-shock

被引:0
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作者
Subrina Jesmin
Satoshi Gando
Takeshi Wada
Mineji Hayakawa
Atsushi Sawamura
机构
[1] Hokkaido University Graduate School of Medicine,Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine
关键词
Trauma; Coagulopathy; Disseminated intravascular coagulation (DIC); Activated protein C;
D O I
10.1186/s40560-015-0123-2
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学科分类号
摘要
We hypothesized that activated protein C does not increase in disseminated intravascular coagulation (DIC) after trauma and that the same is true for acute coagulopathy of trauma-shock (ACOTS). Activated protein C levels were prospectively measured in 57 trauma patients: 30 with DIC and 27 without DIC. Normal to more decreased activated protein C levels were observed in DIC patients than in the controls and non-DIC patients. The activated protein C levels in ACOTS patients were similar to those in DIC patients. In conclusion, activated protein C does not increase in either DIC or ACOTS in the early phase of trauma.
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