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Query: UMLS:C0012739 (
disseminated intravascular coagulation
)
8,673
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Four patients with acute promyelocytic leukemia (APL) and clinical and laboratory manifestations of
disseminated intravascular coagulation
(
DIC
) were treated during induction chemotherapy with Org 10172 (
Organon
International), a low molecular weight heparinoid preparation. Plasma anti-Xa levels were maintained between 0.60 and 0.80 U/ml and anticoagulant activities, determined with a diluted activated partial thromboplastin time assay, ranged from 0.00 to 0.20 U/ml. Bleeding symptoms ceased and fibrinogen levels improved in the first week in all patients. In the second week, two patients developed bleeding as a result of primary fibrinolysis. It is concluded that Org 10172 may be useful in the treatment of patients with
DIC
. In patients with APL, inhibition of
DIC
will be insufficient to control all bleeding, since primary fibrinolysis may also occur.
...
PMID:Treatment of disseminated intravascular coagulation in acute promyelocytic leukemia with low molecular weight heparinoid Org 10172. 242 25