Tuesday, November 10, 2015

Blood coagulation factors


Blood clotting factors
  1. Factor I          - Fibrinogen
  2. Factor II         - Prothrombin
  3. Factor III       - Thromboplastin
  4. Factor IV       - Calcium
  5. Factor V         - Proaccelein, Labile Factor
  6. Factor VI       - Accelerin
  7. Factor VII      - Proconvertin, stable factor
  8. Factor VIII     - Antihaemophilic globulin (A.H.G.)
                           - Antihaemophilic factor A (A.H.F.)
  9. Factor IX        - Christmas factor,
                            - Antihaemophilic factor B,
                            - Plasma thromboplastin component ( P.T.C.) 
  10. Factor X         - Stuart - power factor
  11. Factor XI        - Plasma thromboplastin antecedent ( P.T.A.)
  12. Factor XII       - Hageman factor
  13. Factor XIII      - Fibrin stabilizing factor



Coagulation factors are activated by:
  • Foreign surface
  • Tissue factor
  • Plasma protein factors
  • Calcium ions
  • Platelets




Classic blood coagulation theory of Morawitz

Haemostatic mechanism (Haemostasis) can be divided into 2 stages: Initiation stage and Maintenance stage. 



Initiation stage
Initiation factor - prevent bleeding from wound.
  • Temporary reflex nervous vasoconstriction of injured vessels.
  • Clumping of platelets to plug the injured vessels.
    Those platelets will release serotonin which resulted in constriction of blood vessel adjacent to the wound.
  • Tissue tension - The blood escape to the tissue space and causes swelling, thus increase the the tissue tension which further narrow down the surrounding blood vessel.

Maintenance stage
Formation of fibrin clot - involving many coagulation factors.


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