Intravascular Coagulation Following Injection of Prothrombin Complex

Abstract
Seven rabbits were injected with 217 and 108 units (plasma equivalents) of factors II and IX per kg. body weight, as components of a preparation of human prothrombin complex. Another group of 34 animals received half that amount. Fibrinogen, factors V and VIII, and platelets were found to be reduced, suggesting intravascular generation of thrombin. These factors were only slightly affected by injections of the solvent alone (0.13 M sodium chloride and 0.01 M sodium citrate). Of the animals injected with the prothrombin complex, 34% died, whereas none of the control group died. The mortality was higher (82%) when the complex was injected into the jugular vein through a catheter than when it was injected directly into the marginal vein of the ear (17%). The results, however, were not affected whether the complex was injected before or after the surgery for catheterization.