Liver Disease



In addition to the vitamin K-dependent coag­ulation factors, the liver synthesizes Factor V, fi­brinogen, plasminogen, and Factors XII and XL Patients with advanced liver disease commonly suffer bleeding tendencies. If these mainly in­volve deficiencies of vitamin K-dependent clot­ting factors, they are corrected by administering parenteral vitamin K. Bleeding in severe liver dis­ease also results from dysfibrinogenemias, local­ized DIC, lack of Factor V, increased fibrinolysis, and thrombocytopenia. Treatment of these defi­ciencies employs fresh frozen plasma.




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