Massive intravascular hemolysis with the release of
thromboplastic substances is a well-known trigger mechanism for diffuse intravascular coagulation (DIC) (3).
Furthermore, serum protein electrophoresis showed a polyclonal gamma band, and the patient's prothrombin time and activated partial
thromboplastic time (aPTT) as well as her complement 3 (C3) and C4 levels were normal.
Characteristics of Fibrinogen Reagents Manufacturer Reagent Brand Name Dade Behring Corporation, Fibrinogen Determination Deerfield, Illinois Innovin Multifibren
Thromboplastic C Plus Thromborel S Diagnostica Stago Incorporated, Diagnostica Stago Parsippany, New Jersey Fisher HealthCare, Houston, Texas Fibrinogen Assay Instrumentation Laboratory, Fibrinogen C Bedford, Massachusetts HemosIL PT-Fib HemosIL PT-Fib HS HemosIL PT-Fib HS Plus HemosIL PT-Fib Recombinant HemosIL Recombiplastin HemosIL Recombiplastin 2G QFA Thrombin Trinity Biotech, Bray, Ireland Fibrinogen Kit Fibriquick MDA Fibriquick Reagent Manufacturer Reagent Type No.
In acute DIC there is a massive generation of
thromboplastic material, as well as a consumption of haemostatic elements.
Research suggests that dissemination of intravascular coagulation may occur "as a result of the release of
thromboplastic material or infarction due to emboli from the dead twin." Additionally blood pressure instability or severe hypotension after the death of the co-twin might produce brain lesions in the survivor, Dr.