Abstract
In the development of sepsis DIC is a common complication. Several studies presented in this paper show a coincidence between the development of DIC and depletion of Antithrombin III, a serine protease inhibitor which inhibits a large scale of activated clotting factors. It seems very probable that substitution therapy should be of benefit in the treatment of sepsis-related DIC and may improve the outcome of septic patients. Physiological and clinical findings are put together to clarify the basic rationale for running clinical trials and future studies.
Similar content being viewed by others
References
Abildgaard U (1968) Scand Clin Lab Invest 21
Heimburger N (1967) First International Symposium of Tissue Factors in the Haemostasis of the Coagulation-Fibrinolysis System, Firenze, pp 353–362
Thaler E, Kleinberger G (1979) Intensivmedizin 16:54–60
Bick RL, Kunkel LA (1992) Int J Hematol 55:1–26
Müller-Berghaus G, Hocke M (1972) Thromb Res 1:541
Vinazzer H (1984) Wien Klin Wochenschr 96:872–875
Reeve EB (1980) Thromb Res 18:19–31
Ratnoff OD (1979) Behring Inst Mitt 63:169–186
Trobisch H, Klasing KH, Richter O (1983) Ann Univ Sarav Med [Suppl] 3:37–38
Abildgaard U (1979) In: Collen D, Wiman B, Verstraete M (eds) The Physiological inhibitors of blood coagulation and fibrinolysis. Elsevier/North Holland, pp 31–33
Bone RC (1992) Arch Intern Med 152:1381
Grundmann R, Hornung M (1988) Langenbecks Arch Chir 73:166–172
Blauhut B, Kramar H, Vinazzer H, Bergmann H (1985) Thromb Res 39:81–89
Lämmle B, Tran T, Ritz R, Duckert F (1984) Am J Clin Pathol 82:396–404
Aasen AO, Smith Erichsen N, Amundsen E (1986) Resuscitation 14:33–42
Sandset PM, Roise O, Aasen AO, Abildgaard U (1989) Haemostasis 19:189–195
Mammen EF, Farag AA (1987) Biol Clin Haematol 9 [Suppl 1]: 69–73
Fourrier F, Chopin C, Goudemand J, Hendryex S, Caron C, Rime A, Marey A, Lestavel P (1992) Chest 101:816–823
Seitz R, Wolf M, Egbring R et al. (1989) Eur J Haematol 43:22–28
Fourrier F, Lestavel P, Chopin C, Marey A, Goudemand J, Rime A, Mangalaboyi J (1990) Intensive Care Med 16:121–124
Kirchmaier CM, Bender N, Schepping M, Oehm H, Breddin HK (1985) Angio Arch 7:443–447