Acute renal failure and disseminated intravascular coagulation following diabetic ketoacidosis

1980 ◽  
Vol 17 (1) ◽  
pp. 73-75
Author(s):  
John Scarpello
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Diabetic Ketoacidosis ◽  
Disseminated Intravascular Coagulation ◽  
Intravascular Coagulation

scholarly journals Mortalidad por aborto séptico en el Hospital Nacional Cayetano Heredia. 1985 - 1992

2015 ◽  
Vol 40 (1) ◽  
pp. 55-59
Author(s):  
Raúl Castro ◽  
Eduardo Maradiegue
Keyword(s):  
Septic Shock ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Mortality Rate ◽  
Disseminated Intravascular Coagulation ◽  
Control Group ◽  
Uterine Perforation ◽  
Intravascular Coagulation ◽  
Foul Odor ◽  
Septic Abortion

This is a retrospective epidemiological control case type study of twenty-four deaths caused by septic abortion attended at our Hospital from 1985 through 1992. Control group consisted of 72 pregnant women who survived.. Septic abortion mortality rate was 67,3 per 100000 live newborns. Highest rate, 176,6, occurred in 1991. Mortality rate factor were 5 or more pregnancies (OR=1,7), gestational age over 16 week (OR=5,0), time from abortion maneuvers over 5 days (OR=1,7), septic shock (OR=8,5), anemia (OR=3,4), acute renal failure (OR=17,0), uterine perforation (OR=3,4), disseminated intravascular coagulation (OR=60,0), pelvic thrombophlebitis (OR = 10,2), multisystemic failure (OR=6,5) and lung shock (OR = 6,5). Significant symptoms were yellowish foul odor discharge, jaundice, petechiae, disnea and muscular pain. Main medical and surgical treatment consisted in blood and plasma transfusions, cardiotonics and anticoagulation, and hysterectomy and bilateral salpingoophorectomy. Main causes of death, were septic shock, acute renal failure, multisystemic failure, disseminated intravascular coagulation and lung thromboembolism.

Disseminated Intravascular Coagulation and Acute Renal Failure

1971 ◽  
Vol 26 (02) ◽  
pp. 332-340 ◽  
Author(s):  
I Crîsnic ◽  
M Cucuianu ◽  
M Manasia ◽  
G Uza
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Disseminated Intravascular Coagulation ◽  
Early Stage ◽  
Platelet Adhesiveness ◽  
Intravascular Coagulation ◽  
Clinical Observations ◽  
Lysis Time ◽  
Euglobulin Lysis Time

SummaryStarting from a hypothesis according to which disseminated intravascular coagulation might be an intermediary mechanism in the production of acute renal failure, investigations were made in 94 cases of anuria of different etiology, in order to detect signs of a consumption coagulopathy. After an average lapse of time of 48 h since the onset of anuria, the most frequently encountered hemostatic defect was a decreased platelet adhesiveness. In vitro experiments and clinical observations suggest that in the early stage of acute renal failure caused by a septic abortion, deficient platelet adhesiveness is due, mainly to platelet damage caused by intravascular coagulation or by bacterial toxins and not by the retention of metabolites. Euglobulin lysis time was prolonged, but a significant decrease of the plasminogen level indicates that an activation of fibrinolysis might have occured in the evolution of the process.

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