The effect of pH on platelet and coagulation factor activities

After observing that lavage of the stomach with alkaline solutions has a beneficial effect on the control of gastric hemorrhage, we examined the platelet and coagulation factor activities under conditions of lower and elevated pH. The results showed that change of the pH from acidosis to 7.0 and eve...

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Veröffentlicht in:The American journal of surgery 1978-08, Vol.136 (2), p.257-259
Hauptverfasser: Chaimoff, Chaim, Creter, Draga, Djaldetti, Meir
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container_title The American journal of surgery
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creator Chaimoff, Chaim
Creter, Draga
Djaldetti, Meir
description After observing that lavage of the stomach with alkaline solutions has a beneficial effect on the control of gastric hemorrhage, we examined the platelet and coagulation factor activities under conditions of lower and elevated pH. The results showed that change of the pH from acidosis to 7.0 and even to slight alkalosis induces platelet aggregation, platelet calcium and serotonin release, as well as platelet factor III availability. The prothrombin and partial thromboplastin times approached normal levels, whereas the fibrinogen level did not change significantly. The results obtained may serve as an explanation for the control of the intragastric bleeding in patients treated by maintenance of their gastric pH at 7.0.
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subjects Blood Coagulation Factors - metabolism
Blood Coagulation Tests
Blood Platelets - metabolism
Calcium - metabolism
Epinephrine - pharmacology
Gastrointestinal Hemorrhage - therapy
Humans
Hydrogen-Ion Concentration
Platelet Aggregation - drug effects
Serotonin - metabolism
Thromboplastin - metabolism
title The effect of pH on platelet and coagulation factor activities
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