本邦におけるＤＩＣ診断基準の利用状況

• 中川 克

  京都府立医科大学第二内科

• 河野 秀彦

  京都府立医科大学第二内科

• 木村 晋三

  京都府立医科大学第二内科

• 西村 浩美

  京都府立医科大学第二内科

• 辻 肇

  京都府立医科大学第二内科

• 中川 雅夫

  京都府立医科大学第二内科

書誌事項

タイトル別名

• Practical Usage of Diagnostic Guideline for Disseminated Intravascular Coagulation in Japan.

抄録

The diagnostic guideline for the disseminated intravascular coagulation (DIC) proposed by the DIC Study Group under the Ministry of Health and Welfare, the Government of Japan (1980) has been widely used in clinical practice for these 20 years. However, there exists an opinion that the guideline should be revised, since it is thought to be too strict to allow starting early therapy for DIC. We have put a questionnaire to over 1, 000 doctors to survey the present status of usage of the guideline. Although 98% of the doctors acknowledged the presence of the guideline and about 50% of the doctors answered that they use it for the diagnosis of DIC, 57% of them replied that they do not always follow this guideline but rather make the diagnosis of DIC based on their own criteria. Moreover, there was a trend to give more weight on the abnormal increase or decrease of individual coagulation parameters than on a single point analysis as indicated in the guideline. As a summary of the present study, it is indicated that the guideline should be revised in order to overcome the problems revealed by this study and to match the status quo.

収録刊行物

• 日本血栓止血学会誌

  日本血栓止血学会誌 10 (2/3), 149-160, 1999

  一般社団法人 日本血栓止血学会

キーワード

• disseminated intravascular coagulation (DIC)
• diagnosis
• guideline
• questionnaire

詳細情報

• CRID: 1390282679420799744
• NII論文ID: 130004262212
• NII論文ID: 10008633556
• NII書誌ID: AN10353762
• DOI: 10.2491/jjsth.10.149
• ISSN: 18808808
• ISSN: 09157441
• ISSN: http://id.crossref.org/issn/09157441
• Web Site: https://search.jamas.or.jp/link/ui/1999248654
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可