MindMap Gallery Pathophysiology—Disorders of Coagulation and Anticoagulation Balance
The focus of the examination on pathophysiology of coagulation and anticoagulation balance disorders summarizes knowledge points such as normal coagulation-anticoagulation system, disseminated intravascular coagulation (DIC), etc.
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
Disturbances in the balance between coagulation and anticoagulation
Normal coagulation-anticoagulation system
coagulation system
Essence of coagulation
The process of converting fibrinogen in plasma into insoluble fibrin under the action of stepwise coagulation factors
Activation of the coagulation system
intrinsic coagulation system
extrinsic coagulation system
Initial hemostasis (platelet obstruction, white thrombus)
Secondary hemostasis (red thrombus)
anticoagulant system
Antithrombin III (AT-III)
Production site: liver, vascular endothelial cells
Increases anticoagulant efficiency when combined with heparin
Protein C (PC)
Protein S(S)
Thrombomodulin (TM)
fibrinolytic system
Anticoagulant effect of vascular endothelial cells
coagulation of blood cells
disseminated intravascular coagulation (DIC)
definition
Under the action of certain pathogenic factors, a large amount of procoagulant substances enter the blood, coagulation factors and platelets are activated, causing an increase in thrombin, and extensive microthrombi are formed in the microcirculation, which in turn causes secondary complications due to a large amount of consumption of coagulation factors and platelets. Fibrinolysis is enhanced, and the body develops a pathological process characterized by hemostasis and coagulation dysfunction.
Common causes
Infectious diseases
malignant tumor
Obstetric and gynecological diseases
Surgery and Trauma
snake venom
Common triggers
Impaired function of the monocyte-phagocytic system
Severe liver dysfunction
pregnancy
acidosis
microcirculation disorder
Pathogenesis
Extensive activation of the coagulation system and massive consumption of coagulation factors
Damage or activation of vascular endothelial cells
Tissue factor release and thrombin amplification
Massive destruction or activation of blood cells and activation of platelets
Other procoagulant substances enter the blood
Amniotic fluid embolism, acute pancreatitis, snake venom
Secondary fibrinolytic dysfunction—massive activation of plasmin
Mark
Fibrin degradation product FDP
D-dimer
Impaired anticoagulant factor pathway
installment
hypercoagulable period
consumptive hypocoagulable phase
Secondary hyperfibrinolytic phase
clinical manifestations
Bleeding
shock
organ failure
anemia
microangiopathic hemolytic anemia
somatic cells
Prevention and control
Prevent and treat primary disease
Improve microcirculation
Establish a new dynamic balance between coagulation, anticoagulation and fibrinolysis