• Yuichiro Sakamoto, Satoshi Inoue, Takashi Iwamura, Tomoko Yamashita, Atsushi Nakashima, Yoichi Nishimura, Hiroyuki Koami, Hisashi Imahase, Akiko Goto, Kosuke Chris Yamada, Kunihiro Mashiko, and Hiroyuki Yokota.
• Department of Emergency and Critical Care Medicine, Saga University Hospital, Saga, Japan. sakamoy@cc.saga-u.ac.jp
• Yonsei Med. J. 2013 May 1;54(3):686-9.

PurposeFew reports have been made on the therapeutic effects as well as pathological features of an antithrombin preparation in patients diagnosed with septic disseminated intravascular coagulation (DIC) by the diagnostic criteria for acute DIC.Materials And MethodsA total of 88 sepsis patients who had received inpatient hospital care during the period from January 2000 through December 2008 were divided into two groups, an antithrombin group and a non-antithrombin group, to study the outcomes. Furthermore, the relationship between sepsis-related factors and DIC in 44 patients was studied.ResultsThe antithrombin group contained 34 patients, and the non-antithrombin group contained 54 patients. The outcomes were significantly better in the antithrombin group. The levels of protein C were low in DIC patients.ConclusionOur results suggest that early administration of antithrombin might improve outcomes of septic DIC patients in the diagnostic criteria for Japanese Association for Acute Medicine acute DIC.

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