[Diagnosis of postoperative coagulopathic hemorrhage in oncology patients]

The condition of the hemostatic system during operation and in the early postoperative period was studied in 288 oncological patients in blood loss of different volumes. A relation of changes in hemostasis to the amount of blood lost was found. The increase in the volume of blood loss was caused first of all by the traumatic character of the operation itself, i.e. surgical hemorrhages, while the coagulopathic hemorrhages were of a secondary character. They evolve as acute and subacute syndrome with generalized, hypercompensated or moderate fibrinolysis in the form of hemodilution coagulopathy with predominant reduction of the number of platelets and their dysfunctions, or are mixed in character. A complex of rapid methods for the diagnosis of coagulopathic hemorrhages is recommended.