不同病因患者脾切除术后血小板变化的研究

Research on Platelet Change after Splenectomy because of Different Diseases

目的观察因不同疾病而行脾切除手术前后血小板数量变化规律并对其临床意义进行探讨。方法对94例不同疾病(外伤性脾破裂70例,肝硬化脾功能亢进17例,特发性血小板减少性紫癜4例)脾切除术前后血小板的变化进行比较。结果各组血小板的动态变化基本相同。结论各种原因所致脾切除术后患者血小板数量均明显升高。对增高明显者,为防止脾切除后血栓形成和栓塞发生,应采取针对性的预防和治疗措施。

Objective To observe the platelet change after splenectomy because of different diseases and to discuss the clinical significance. Methods The platelet changes before and after splenectomy in 94 cases （70 cases with traumatic splentic rupture, 17 cases with hyperspenism by hepatic cirrhosis and 4 cases with idiopathic thrombocytopenic purpura） were compared. Results All the patients showed relatively similar dynamic change of platelet. Conclusion The quantity of platelet of the patients receiving splenectomy because of different disease rose obviously; correspondent prevention and treatment should be given to those with obvious increase of platelet after splenectomy so as to prevent the occurrence of tbrombosis and embolism.