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Chapter 2.10 The Physiology of Haemostasis

BOOK TITLE: Understanding Medical Physiology: A Textbook for Medical Students

Author
1. Bijlani R.L.
ISBN
9788180612213
DOI
10.5005/jp/books/10999_15
Edition
3/e
Publishing Year
2004
Pages
8
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi
Chapter keywords
metabolic pathways, coagulation, mobilizing platelets, thrombopoiesis, demarcation membranes, erythrocytes, megakaryocyte, haemostatic mechanisms, platelet count, vasoconstriction, prothrombin activator, clotting process, platelet plug, fibrinolysis, proteinase inhibitor, plasminogen activator, calcium binding agents, anticoagulant

Abstract

This chapter discusses the physiology of haemostasis, which is a collective term for mechanisms to prevent blood loss. Platelets, also known as thrombocytes are small and irregularly shaped blood cells. Platelets participate in almost all stages of haemostasis. The characteristic features of platelets are an extensive canalicular system and a microtubular system composed of contractile proteins. Platelets are formed in the bone marrow. Platelets are the smallest blood cell but have the largest precursor cell. Megakaryocytes develop demarcation membranes within their cytoplasm and then form pseudopodia like processes. Thrombopoiesis seems to be regulated by a group of humoral factors collectively called thrombopoietins. Contractile proteins of the platelets bring about clot retraction. Vasoconstriction tends to stop bleeding. Collection of platelets at the site of injury also leads to aggregation of platelets because of their stickiness. Coagulation is the end result of a series of chemical reactions involving plasma proteins.

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