Smirnov A A
Vestn Khir Im I I Grek. 1976 Jun;116(6):46-8.
An examination of 76 patients with obstructive jaundice of cholelithic and tumor origin indicated an association of manifest hypocoagulation properties of blood with the absolute kalium deficiency in blood. In 54 patients postoperatively following restoration of bile passage in the bowel a progressive decrease in kalium concentration and an increase of sodium in erythrocytes were associated with a simultaneous enhancement of coagulation properties, and vice versa an increased kalium and decreased sodium content in erythrocytes was associated with a hypocaugulation tendency. It is evident that activation or suppression of hemocoagulation is dependent on the state of multiple factors of blood coagulation system in altered electrolytic medium and on eletrolytic reconstruction of erythrocytes.
对76例胆石症和肿瘤性梗阻性黄疸患者的检查表明，血液明显的低凝特性与血液中绝对钾缺乏有关。在54例术后肠道胆汁引流恢复的患者中，红细胞内钾浓度逐渐降低、钠含量增加与凝血特性同时增强相关，反之，红细胞内钾含量增加、钠含量降低则与低凝倾向相关。显然，血液凝固的激活或抑制取决于改变的电解质介质中血液凝固系统多种因素的状态以及红细胞的电解质重建。
