Platelets

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Platelets are the smallest of the formed elements of the blood. Every cubic millimeter of blood contains about 250 million platelets. There are about a trillion platelets in the blood of an average adult. Platelets are fragments of the giant bone-marrow cells called megakaryocytes. When a megakaryocyte matures, its cytoplasm breaks up, forming several thousand platelets. Platelets are roughly disk-shaped between one-half and one-third the diameter of a red cell. However, they contain only about one-thirteenth the volume of a red cell. When released into the blood, they circulate and die in about ten days.

The primary function of platelets is that of forming blood clots. Platelets contain contractile protein (actomyosin) and are prone to contract much as muscles do. This causes the shrinkage of a fresh blood clot after it stands for a few minutes. When a wound occurs, numbers of platelets are attracted to the site where they activate thrombin which starts the clotting process. Prothrombin is the precursor of thrombin. Thrombin also makes the platelets sticky. When exposed to collagen and thrombin, the platelets aggregate to form a plug. Persons with a low platelet count have a long bleeding time.

Platelets not only tend to stick to one another, but to the walls of blood vessels as well. Because they promote clotting, they play a key role in formation of thrombi.


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