Abstract

1.1. A patient with hemopneumothorax with recovery is reported, together with observations on the pleural and venous blood coagulation mechanisms.2.2. The grossly bloody pleural fluid failed to clot after thoracentesis and was found to be completely devoid of prothrombin, thrombin and fibrinogen. No anticoagulant activity was demonstrated in the pleural blood.3.3. It is concluded that coagulation of blood occurred within the relatively untraumatized pleural cavity by mechanisms similar to those involved in any extravascular hemorrhage.

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