Thrombocytopenia

Thrombocytopenia is secondary to increased consumption which is likely to occur by adherence to collagen exposed on damaged endothelium. Martin et al. (1990) suggested three categories based on the platelet count: class 1 when the platelet count is below 50^10 9/ml, class 2 when it is between 50 and 100*109/ml, and class 3 when it is between 100 and 150*109/ml. Class 1 patients had a higher mean value of lactate dehydrogenase, serum-glutamic oxaloacetic transaminase, serum glutamate-pyruvate transaminase, and indirect bilirubin than class 2 patients and a longer interval between delivery and recovery time. The degree of hypertension was not different between the groups. This classification may aid identification of more severe patients and facilitate earlier aggressive therapy.

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