Gilabert J, Estelles A, Aznar J, Galbis M
Acta Obstet Gynecol Scand. 1985;64(1):35-9. doi: 10.3109/00016348509154685.
Several parameters of hemostasis have been studied in 19 patients suffering from abruptio placentae. In 10 of them severe hemostatic alterations were detected and in 5, disseminated intravascular coagulation was observed. The patients were divided into four groups according to the severity of their clinical picture. The degree of placental separation was related to the severity and course of the clinical history and to the alterations in hemostasis detected at the most critical clinical moment. The analytical parameters were evaluated after extraction of the thromboplastic material. A good correlation was observed between the severity of the clinical picture and the degree of placental separation and the greatest analytical alteration, especially with cross-linked soluble fibrin monomer complexes (SFMC). In 9 of the 19 patients who showed analytical and/or clinical alterations, an improvement was detected in these alterations after evacuation of the uterus.
对19例胎盘早剥患者的多项止血参数进行了研究。其中10例检测到严重的止血改变，5例观察到弥散性血管内凝血。根据临床表现的严重程度将患者分为四组。胎盘剥离程度与临床病史的严重程度和病程以及在最关键临床时刻检测到的止血改变有关。在提取促凝物质后评估分析参数。观察到临床表现的严重程度与胎盘剥离程度以及最大的分析改变之间存在良好的相关性，尤其是与交联可溶性纤维蛋白单体复合物（SFMC）。在19例出现分析和/或临床改变的患者中，9例在子宫排空后这些改变有所改善。
