Bleeding Time
Assist Lecture Ammar Yasir
Bleeding time
⚫ Bleeding time is a medical test that measures how fast
small blood vessels in the skin stop bleeding.
⚫ The bleeding time test evaluates how well a person's blood
is clotting. The test evaluates how long the vessels cut to
constrict and how long it takes for platelets in the blood to
seal off the hole.
Normal Values of Bleeding Time
(BT)
⚫ Bleeding time normal: 2 to 7 minutes
⚫ Borderline: 7 to 11 minutes.
⚫ Abnormal value: 10 to 15 minutes.
Indications For Bleeding Time (BT)
⚫ This test is done to evaluate vascular and platelet factors.
⚫ This test may be done Preoperatively to rule out the possibility of
bleeding, e.g., in patients for tonsillectomy, etc.
⚫ A bleeding test may be done to detect the presence of various
coagulation disorders.
⚫ This may be advised to monitor the treatment of active hemorrhage in
patients with prolonged bleeding time due to uremia, von Willebrand
disease, severe anemia, and congenital platelets functional
abnormalities.
Aim
⚫ To calculate the time required to stop bleeding in the skin
resulting from a small blood vessel wound.
Principle
⚫ The time from the beginning of incision until the
termination of bleeding is considered as the BT.
Materials
⚫ Sterilizing Alcohol
⚫ Cotton
⚫ Lancet
⚫ Filter Paper
⚫ Stopwatch.
Procedure
⚫ A standard filter paper should be used every 30 seconds to
draw off it until the blood completely stops.
Result
⚫ Then calculate the spots of blood and collect them to find
the total bleeding time.
Diseases that cause prolonged
bleeding time
⚫ 1. Thrombocytopenia.
⚫ 2. Disseminated intravascular coagulation (DIC).
⚫ 3. Bernard-Soulier disease.
⚫ 4. Glanzmann's thrombasthenia.
⚫ 5. Aspirin and other cyclooxygenase inhibitors can significantly
prolong bleeding time.
Thank You