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Treatment of disseminated intravascular coagulation with gabexate mesilate.

Abstract
Gabexate mesilate (FOY) was used to treat 215 patients with disseminated intravascular coagulation (DIC) and 146 patients with a predisposition to DIC (pre-DIC). Sixty percent of DIC patients and 48% of pre-DIC patients exhibited pretreatment organ failure, which resolved after FOY treatment in 16% of DIC patients and 17% of pre-DIC patients. Seventy percent of DIC patients and 49% of pre-DIC patients had a pretreatment bleeding tendency that was ameliorated by FOY treatment in 32% of DIC patients and 30% of pre-DIC patients. Comparison of pretreatment and posttreatment hemostatic studies of the DIC patients revealed that platelet count and levels of fibrinogen degradation products (FDP), thrombin-antithrombin-III complex, and FDP-D-dimer decreased significantly; fibrinogen level increased markedly; and prothrombin time was prolonged. DIC scores were significantly lowered in both leukemic and nonleukemic patients from the third day of treatment with FOY. Among leukemic DIC patients, 59% showed complete remission (CR), 21% partial remission (PR), and 7% exacerbation of their condition; 46% of the nonleukemic DIC patients demonstrated CR, 17% PR, and 17% exacerbation. Of the leukemic pre-DIC patients, 59% showed improvement and 7% exacerbation, whereas 55% of the nonleukemic pre-DIC patients showed improvement and 27% exacerbation.
AuthorsS Tamaki, H Wada, K Hiyoyama, M Shimura, K Minamikawa, Y Wakita, T Nakase, M Ohiwa, T Kaneko, E Iwasaki
JournalClinical therapeutics (Clin Ther) 1993 Nov-Dec Vol. 15 Issue 6 Pg. 1076-84 ISSN: 0149-2918 [Print] UNITED STATES
PMID8111805 (Publication Type: Journal Article)
Chemical References
  • Gabexate
Topics
  • Disseminated Intravascular Coagulation (drug therapy)
  • Female
  • Gabexate (therapeutic use)
  • Humans
  • Male
  • Thrombosis (complications)

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