外伤性脾破裂脾切除术后患者血小板变化的临床意义

The clinical significance of platelets in patients with splenectomy after traumatic rupture

目的探讨外伤性脾破裂行脾切除术患者血小板变化的意义。方法选取收治的外伤性脾破裂行全脾切除术30例患者临床资料,采用统计学软件分析术前及术后1d、3d、7d、14d、1月的血小板(PLT)的变化。结果患者术后1d血小板较术前无明显变化,P】0.05,在术后3d血小板较术前有升高趋势,在术后7d-14d左右达到高峰值,与术前比较,P均【0.01,差异具有统计学意义,在术后一个月可恢复正常。结论血小板可作为脾切除患者术后预防血栓形成的重要指标。

Objective To explore the clinical significance of platelets in patients with splenectomy after traumatic rupture.Methods A case of 30 traumatic rupture patients withnot the heart underlying diseases undergo total splenectomy was selected,the platelets(PLT) of preoperative and postoperative 1d,3d,7d,14d,1 month were analysed using statistical analysis software.Results There was no significant difference of PLT between the postoperative 1d and the preoperative,(P>0.05).Compared with preoperative,the PLT of postoperative 3d tending to increase,and around postoperative 7d-14d,the values of PLT was achieved peaking.Compared with the preoperative,the difference was statistically significant,all P<0.01.The PLT was returned to normal performancein after one month.Conclusions The platelet can be used as an important indicator to prevention of thrombosis in patients with splenectomy.