SHOK TURLARI VA DVS SINDROMINING UMUMIY TASNIFI
PDF

Keywords

Shok, DVS sindromi, disseminatsiyalangan tomir ichi ivish, mikrosirkulyatsiya, koagulopatiya, RDS, intensiv terapiya, trombogenez, endotelial disfunktsiya.

Abstract

Ushbu obzor maqolada shokning patofiziologik mexanizmlari va uning og‘ir asorati sifatida disseminatsiyalangan tomir ichi ivish (DVS) sindromining rivojlanish omillari, klinik belgilari hamda oqibatlari tahlil qilindi. Shokning turli etiologik shakllarida endotelial disfunktsiya, mikrotrombogenez va koagulopatiya rivojlanishi DVS sindromining asosiy patogenezi sifatida ko‘rsatildi. Maqolada DVSning klinik ko‘rinishlari, laborator mezonlari, ko‘p a’zoli yetishmovchilik, RDS, buyrak va jigar disfunktsiyasi kabi asoratlari yoritildi. Shuningdek, patogenezga asoslangan davolash tamoyillari, antikoagulyant terapiya va qon komponentlarini replasman qilish zaruriyati muhokama qilindi. Shok fonida DVSni erta tashxislash va intensiv terapiya choralari o‘lim ko‘rsatkichlarini kamaytirishda hal qiluvchi ahamiyatga ega ekani ta’kidlandi.

PDF

References

Levi M, Ten Cate H. Disseminated intravascular coagulation. N Engl J Med. 1999;341(8):586–592.

Vincent JL, De Backer D. Circulatory shock. N Engl J Med. 2013;369:1726–1734.

Taylor FB, Toh CH, Hoots WK et al. Towards definition, clinical and laboratory criteria, and a scoring system for DIC. Thromb Haemost. 2001;86(5):1327–1330.

Iba T, Nisio MD, Levy JH. New criteria for DIC based on fibrin-related markers and antithrombin III. J Intensive Care. 2014;2(1):1–6.

Papageorgiou C, Jourdi G, Adjambri E, et al. Disseminated intravascular coagulation: An update on pathogenesis and diagnostic criteria. Thromb Res. 2018;164:40–46.

Gando S, Levi M, Toh CH. Disseminated intravascular coagulation. Nat Rev Dis Primers. 2016;2:16037.

Wada H, Matsumoto T, Yamashita Y. Diagnosis and treatment of disseminated intravascular coagulation (DIC) according to four DIC guidelines. J Intensive Care. 2014;2(1):15.

Semeraro N, Ammollo CT, Semeraro F, Colucci M. Coagulopathy of acute sepsis. Semin Thromb Hemost. 2015;41(6):650–658.

Angus DC, van der Poll T. Severe sepsis and septic shock. N Engl J Med. 2013;369:840–851.