门静脉高压症断流术后脾静脉血栓的早期防治(附81例分析)

Early Treatment to Prevent Thrombogenesis of Spleen Vein after Portaazygous Disconnection of Patient with Portal Hypertension

目的 探讨门静脉高压症断流术后脾静脉血栓形成的防治方法。方法 门静脉高压症脾切除加断流术病人术中彻底止血 ,术后不用止血剂并早期静滴低分子右旋糖酐及口服巴米尔泡腾片 ,观察其对脾静脉血栓形成的长度及病人体温的影响。结果 治疗组脾静脉血栓的长度显著减小 ,术后体温显著降低 ,发热时间显著缩短。结论 门静脉高压症脾切除加断流术后早期静滴低分子右旋糖酐及口服巴米尔泡腾片是防治脾静脉血栓形成的有效方法。

Objective To find the method to prevent and treat thrombogenesis of spleen vine after portaazygous disconnection of patient with portal hypertension. Methods To stop bleeding thoroughly during splenectomy and portaazygous disconnection, drip low molecular dextron and take Bamyl (Acidum Acetylsalicum) orally 24 to 48 hours after the operation, do not use styptic, then observe the length of thrombus in spleen vein and the temperature of patient. Results The thrombus in spleen vein is much shorter, the temperature is lower, the period of patient with fever is obviously shorter then those in control group. Conclusion To drip low molecular dextron and take Bamyl early after portaazygous disconnection of patient with portal hypertension is an effective method to prevent and treat thrombogenesis of spleen vine.