Detection of disseminated intravascular coagulation with the help of the conception of constant intravascular microcoagulation.
The possibility of intravascular blood coagulation existence in the microvascular vessels and capillaries without the presence of a large thrombus in the arteries and veins has been known from the middle of 19th century. It is impossible to know exactly about the prevalence of this pathology, because there is a jumble in terminology that does not help statistics to be exact. One of the reasons of so high mortality from disseminated intravascular coagulation (DIC) is due to the impossibility to always make exact diagnosis, and as M. Levi thinks it is provoked in the absence of generally accepted idea of DIC syndrome. We investigated these markers and the intensity of intravascular blood coagulation in a number of patients. Our understanding of the problems of DIC was formulated on the grounds of a thirty-year study of the problem involving over 1,500 patients. Thereby, the conception of constant intravascular microcoagulation (CIMC) was developed with the following aims: to report the existing material and bring to researchers and doctors in practice information about the presence of the phenomenon of CIMC and to resolve debatable questions of definitions and practical usage of up-to-date information about DIC with the help of CIMC conception.
I. M. Sechenov Moscow Medical Academy, Moscow, Russia. bokarev@online.ru
Igor
I
Bokarev
Ludmila
L
Popova
D001777:Blood Coagulation; D004211:Disseminated Intravascular Coagulation / Q000097:blood / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D055806:Microvessels