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Life-Threatening Coagulation Disorders in Critical Care Medicine

Viola Hach-Wunderle, Peter Nawroth (Herausgeber)

Buch | Softcover

IX, 90 Seiten

1996
Springer Berlin (Verlag)
978-3-540-61475-3 (ISBN)

Lese- und Medienproben

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Hypercoagulability and bleeding are problems physicians frequently encounter when treating intensive care patients. The coagulation mechanism is a tightly controlled system. Its balance is disturbed in conditions such as septicemia, trauma, shock, and others. The dis turbances may be local or disseminated and the therapeutic options available are limited and nonspecific: limited since in most cir cumstances they may not affect the underlying disease and are si milarly independent of the pathogenic mechanism; nonspecific since they cannot be specifically targeted to the problem of local or sys temic disturbance of coagulation. Furthermore, increased and de creased coagulability may be present at the same time. Activation of coagulation may lead to fibrin deposition and decreased hemostatic capacity, as seen in disseminated intravascular coagulation. New diagnostic approaches for acquired disorders of coagulation have been developed and form a new basis for therapeutic strategies. Despite this progress, many physicians are aware of the problem that, especially for intensive care patients, a treatment very often has to be selected before diagnostic procedures can be completed. We also know that for many diseases rare occurrence or the hetero genity of the patient population make it quite difficult to conduct clinical studies which prove that a therapeutic regimen is efficacious. Thus, much discussion about coagulation disorders in critically ill patients is still necessary. Even so, it is important to provide guidelines for handling these problems.

Viola Hach-Wunderle, Prof. Dr. med., ist Fachärztin für Innere Medizin, Schwerpunktbezeichnung Angiologie, Zusatzbezeichnung Phlebologie. Sie ist niedergelassen in eigener Praxis in Frankfurt/Main und Leiterin der Sektion Angiologie im Krankenhaus Nordwest Frankfurt

I Disseminated Intravascular Coagulation (DIC).- 1 Pathophysiology, Presentation, and Treatment of Conditions Associated with DIC.- 2 Consumption Coagulopathy: Principles of Management.- II Acquired Inhibitors.- 3 Acquired Inhibitors Against Factor VIII and Factor IX.- 4 Lupus Anticoagulants.- 5 Heparin-Induced Thrombocytopenia.- III Massive Bleeding.- 6 Bleeding in Transplantation Surgery.- 7 Bleeding After Massive Transfusion.

Erscheint lt. Verlag	14.11.1996
Übersetzer	T.C. Telger
Zusatzinfo	IX, 90 p. 8 illus.
Verlagsort	Berlin
Sprache	englisch
Maße	155 x 235 mm
Gewicht	166 g
Themenwelt	Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie
Schlagworte	bleeding disorders • Blutgerinnung • Care • Coagulation disorders • critical care • HC/Medizin/Klinische Fächer • Intensive care • Intensive Care Medicine • Intensivmedizin • pathophysiology • Surgery • Transplantation
ISBN-10	3-540-61475-3 / 3540614753
ISBN-13	978-3-540-61475-3 / 9783540614753
Zustand	Neuware