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Time course of clotting and fibrinolytic markers in acute upper gastrointestinal bleeding: relation to diagnosis and blood transfusion treatment.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences. Department of Surgery, Sundsvall County Hospital, S-851 86 Sundsvall, Sweden.
Department of Surgery, Sundsvall County Hospital, S-851 86 Sundsvall, Sweden.
Department of Surgery, Sundsvall County Hospital, S-851 86 Sundsvall, Sweden.
1993 (English)In: Blood Coagulation and Fibrinolysis, ISSN 0957-5235, E-ISSN 1473-5733, Vol. 4, no 6, 877-80 p.Article in journal (Refereed) Published
Abstract [en]

One hundred consecutive patients with acute upper gastrointestinal bleeding were investigated. Blood coagulation and fibrinolytic activity were monitored by levels of plasma thrombin-antithrombin III (TAT) complex and plasmin-alpha 2-antiplasmin (PAP) complex in samples obtained from patients at admission with haematemesis and/or melana and in samples obtained from patients the first day after admission. Blood was transfused according to a restrictive policy. Median plasma TAT complex was significantly elevated both at admission and on the first day after admission compared with a reference group. Plasma PAP complex levels were normal at admission but decreased on the first day after admission. This decrease was independent of blood transfusion. The results indicate hypercoagulability at admission among patients with upper gastrointestinal haemorrhage reinforced by the development of a hypofibrinolytic state during the first day after admission. Restricted blood transfusion was not associated with any detectable change in blood coagulation or fibrinolysis in these patients.

Place, publisher, year, edition, pages
1993. Vol. 4, no 6, 877-80 p.
Keyword [en]
blood transfusion, coagulation, fibrinolysis, Gastrointestinal haemorrhage, plasmin-α 2-antiplasmin, thrombin-antithrombin III complex
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:miun:diva-19098ISI: A1993MP09200003PubMedID: 7511945Scopus ID: 0027746290OAI: oai:DiVA.org:miun-19098DiVA: diva2:647401
Available from: 2013-09-11 Created: 2013-06-07 Last updated: 2017-01-12Bibliographically approved

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CiteExportLink to record
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