THE STATE OF HAEMOSTASIS SYSTEM IN GIRLS-TEENAGERS WITH OVARIAN APOPLEXY

Abstract

The purpose of the research is to study the state of haemostasis system in girls-teenagers with ovarian apoplexy. 90 girls-teenagers with ovarian apoplexy were examined. Depending on age differences of the etiologic factor in the development of ovarian apoplexy and the course of the disease all girls-teenagers were divided into 3 groups: 25 at the age of 13-15 years (1-st group), 40 at the age of 16-17 years (2-nd group) and 25 with a relapse of the disease at the age of 13-16 years (3-rd group). The control group included 20 girls-teenagers without gynecologic diseases (4-th group). The clinical data, indices of hemogram and coagulation system of hemostasis during the disease and recovery are presented in the research. As a result of the study it was found out that in the girls-teenagers of the 2-nd and the 3-d groups the frequency of inflammatory diseases of genitals was 70 and 50%, respectively, which is much oftener than in the 1-st group (8.8%). The hemorrhagic form of ovarian apoplexy was in 10% of cases of the 2-nd group. In the hemogram of girls-teenagers of this group the quantity of thrombocytes decreased in comparison with the control (236.1±16.2 and 261.8±20.7×10³/mm³, respectively, р<0.05), the absolute quantity of monocytes during the disease was higher (from 0.53 till 0.57 ×10⁶) than in the control group (0.35×10⁶; р<0.001), during the recovery their quantity decreased up to control indices (from 0.33 till 0.46×10⁶; р<0.05). In the coagulation system of hemostasis at ovarian apoplexy the tendency to hypercoagulation mostly shown in the relapse of the disease was revealed, which in the combination with local hemostasis influences the decrease of ovarian apoplexy hemorrhagic form frequency.