A. Halim et al., BLOOD-COAGULATION AND FIBRINOLYSIS IN ECLAMPTIC PATIENTS AND THEIR CORRELATION WITH THE CLINICAL SIGNS, Gynecologic and obstetric investigation, 39(2), 1995, pp. 97-102
We studied the impact of blood coagulation and fibrinolysis on the cli
nical features of eclamptic patients (n = 20) in Bangladesh. The varia
bles used were edema, proteinuria, blood pressure, number of convulsio
ns, level of consciousness at the time of admission, thrombin antithro
mbin complexes (TAT), antithrombin (AT) III (%) activity and antigen,
D dimer fibrin degradation product and alpha(2)-plasmin inhibitor-plas
min complex (PIC) in plasma. Canonical correlation analysis was made t
o obtain clinical index, eclampsia index and two coagulation indices.
On admission, the mean values of coagulation parameters were AT III ac
tivity: 83.2% (range 57-108), TAT complex: 47.6 ng/ml (range 11.5-60),
D dimer: 1,693 ng/ml (range 417-8,276) and PIC 1.4 mg/ml (range 0.4-3
.3). We found a significant correlation between the eclampsia index an
d clinical index (r = 0.601; p = 0.01). Gestosis index, clinical index
, and eclampsia index have also a strong correlation with the coagulat
ion index (r = 0.695, p < 0.005; r = 0.871, p < 0.0001 and r = 0.805,
p < 0.0001, respectively). Coagulation and fibrinolysis were markedly
activated in eclampsia. The correlation between the clinical status an
d coagulation status in this study suggested a close relation between
the coagulation and the development and progression of the disease.