Document Detail


Blood coagulation disorders in septic patients.
MedLine Citation:
PMID:  20364416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Host defense and blood coagulation are tightly connected and interacting systems, necessary for the integrity of an organism. Complex mechanisms regulate the intensity of a host response to invading pathogens or other potentially dangerous situations. Under regular conditions, this response is limited in time and located to the site of injury. Sometimes, however, systemic host response is overwhelming and disproportional and causes damage, not cure. Dependent on the genetical predisposition of the host, its current immunocompetence, or the type of injury, the reaction leads to the clinical picture of the different degrees of sepsis. Septic organ dysfunction is caused by intravascular fibrin deposition as a result of coagulation activation, anticoagulant breakdown, and shut down of fibrinolysis. This article describes the major pathophysiologic reactions in these situations and presents www.SepDIC.eu, an online tool on sepsis and associated coagulopathy.
Authors:
Paul Knoebl
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Wiener medizinische Wochenschrift (1946)     Volume:  160     ISSN:  1563-258X     ISO Abbreviation:  Wien Med Wochenschr     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-05     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708475     Medline TA:  Wien Med Wochenschr     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  129-38     Citation Subset:  IM    
Affiliation:
Division of Hematology and Hemostasis, Department of Medicine I, Medical University of Vienna, Vienna, Austria. paul.knoebl@meduniwien.ac.at
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MeSH Terms
Descriptor/Qualifier:
Antithrombins / physiology
Apoptosis / physiology
Blood Coagulation Disorders / physiopathology*,  therapy
Disseminated Intravascular Coagulation / physiopathology
Endothelium, Vascular / physiopathology
Fibrinolysis / physiology
Humans
Intensive Care
Multiple Organ Failure / physiopathology
Platelet Activation / physiology
Sepsis / physiopathology*,  therapy
Systemic Inflammatory Response Syndrome / physiopathology
Thrombin / physiology
Thrombosis / physiopathology
Chemical
Reg. No./Substance:
0/Antithrombins; EC 3.4.21.5/Thrombin
Comments/Corrections
Comment In:
Wien Med Wochenschr. 2010 Mar;160(5-6):105-6   [PMID:  20364411 ]

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