[Role of dysfibrinogenemia and disorders of fibrinolysis in the pathogenesis of hemostatic pathology in liver cirrhosis].
A study of 93 patients with liver cirrhosis showed that the most important blood coagulation disorder in this pathology resulting in hypocoagulation, was not decreased synthesis and deficit of the prothrombin complex factors but disturbance of the final stage determined by afibrinogenemia. Considerable depression of XIIa-kallikrein-dependent fibrinolysis and marked increment of an antiplasmin level in the plasma were noted. Positive paracoagulation tests were revealed in 57% of the patients, and as other signs typical of the lingering DIC-syndrome were absent, they were interpreted as the "hypercoagulation syndrome" or "pre-DIC syndrome". The problem of possible relationship of development of both thromboses and hemorrhages with acquired afibrinogenemia in liver cirrhosis was discussed.
D000328:Adult; D000347:Afibrinogenemia / Q000150:complications*; D000368:Aged; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D005260:Female; D005342:Fibrinolysis; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000097:blood* / Q000150:complications; D008297:Male; D008875:Middle Aged
Znachenie disfibrinogenemii i narusheniĭ fibrinoliza v patogeneze patologii gemostaza pri tsirrozakh pecheni.