Diagnostic criteria and laboratory tests for disseminated intravascular coagulation

作者：Wada Hideo^*; Matsumoto Takeshi; Hatada Tuyoshi

来源：Expert Review of Hematology, 2012, 5(6): 643-652.

DOI：10.1586/EHM.12.57

• diagnostic criteria
• disseminated intravascular coagulation
• global coagulation tests
• hemostatic molecular marker
• International Society on Thrombosis and Hemostasis
• Japanese Association for Acute Medicine
• Japanese Ministry of Health, Labor and Welfare
• non-overt DIC
• overt DIC

Three diagnostic criteria for disseminated intravascular coagulation (DIC) have been established by the Japanese Ministry of Health, Labor and Welfare, the International Society on Thrombosis and Hemostasis (ISTH) and the Japanese Association for Acute Medicine. The diagnostic criteria involving global coagulation tests, such as the Japanese Ministry of Health, Labor and Welfare criteria and the ISTH overt diagnostic criteria, are first-generation DIC diagnostic criteria, those involving global coagulation tests and changes in these tests such as the Japanese Association for Acute Medicine criteria, are second-generation DIC diagnostic criteria, and those including non-overt DIC diagnostic criteria involving global coagulation tests, changes in these tests and hemostatic molecular markers will be the future (third-generation) DIC diagnostic criteria. There are no significant differences in the three diagnostic criteria with respect to predicting poor outcomes. Therefore, the third generation of diagnostic criteria including hemostatic molecular markers is expected to be established. Standardization and the determination of adequate cutoff values should be required for each laboratory test.

• 出版日期2012-12