@article{oai:niigata-u.repo.nii.ac.jp:00021475, author = {小熊, 豊 and 桜川, 信男 and 中川, 雅夫 and 長谷川, 淳 and 真木, 正博}, issue = {4}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Apr}, note = {A study was intended to clarify the effectiveness of low molecular weight heparin (LMW Hp, FR-860;mean MW;4,400~5,600, KABI) on DIC. The research group was established among 49 nationwide institutes and 88 cases were challenged by FR-860 injection. The patients were divided into two groups and FR-860 was administered principally during 5 days with the doses of 75 U/kg/day in the I group (n=46) and 150 U/kg/day in the II group (n=42), respectively. Scoring points were defined according to the severity of bleeding symptoms, organ failures and abnormal coagulation-fibrinolytic examinations. By comparing the improvement ratio of these scores, therapeutic effect and clinical usefulness of FR-860 were evaluated into 5 types of excellently, moderately, slightly, unchanged (not useful) and aggravated (undesirable). The efficacy of FR-860 was evaluated in 27 and 29 cases of the I and II groups, respectively, excluding 32 cases such as treated with other drugs simultaneously. No significant difference was observed in the case profile between the two groups. 6 cases died due to the underlying diseases or complications other than DIC. In bleeding symptoms, 45.5 and 48.0% cases of the each group showed more than moderately improvement. In organ failures and coagulation-fibrinolytic examinations, 31.6 and 66.7% cases showed markedly or moderately improvement in the I group, while they remained 14.3 and 51.7% in the II group, respectively. And then, FR-860 revealed useful in 66.7 and 58.6% cases of the each group. These results demonstrate that FR-860 is effective on DIC with a dose of 75 U/kg/ day.}, pages = {272--278}, title = {低分子ヘパリン(FR-860)のDICに対する臨床効果}, volume = {105}, year = {1991} }