CHANGES IN THROMBIN GENERATION AND ANTITHROMBIN TITER FOLLOWING MASSIVE BLEEDING AND TRANSFUSION IN DOGS
Thrombin generation, plasma antithrombin levels, and plasma protein levels were measured in dogs following rapid massive bleeding and transfusion. Three groups of four dogs per group were used. One group was transfused with saline, one with dextran, and one with a plasma fraction. The plasma fraction was prepared from mixed dog plasma by a procedure designed to remove most of the known clotting factors with a minimum of damage to other proteins. The in vivo dilution of blood by transfusion with two volumes of saline or one of plasma fraction increased the rate of thrombin generation. Dilution by transfusion with dextran decreased both rate and amount of thrombin generation. For the first few hours following transfusion with saline, plasma antithrombin increased more rapidly than total plasma protein. This was probably a result of increased lymph flow. Fluctuations in the coagulability of the blood were observed up to 72 hours following bleeding and transfusion. The fluctuations following saline transfusion were less prolonged than when dextran or plasma fraction was used.