摘要
目的:探讨肝硬化门脉高压症脾切除术后血小板数量变化的临床意义。方法:统计分析153例肝硬化伴脾大脾亢患者脾切除术前后(肝硬化组)血小板(PLT)计数和肝功能,观察血小板变化趋势,比较脾切除术前后血小板变化和肝功能变化的关系,同时与脾外伤组对比。结果:肝硬化组术后多数血小板升高,部分不升高,甚至降低,并与肝功能相关。肝硬化组较外伤组手术前后血小板变化不明显。结论:肝硬化血小板减少数民的原因除与脾肿大等有关外,还可能与肝脏功能变化有关。
Objcetive ：To investigate the clinical significance of changes of platelet count after spleneotomy in patients with cirrhosis and portal hypertension. Methods ： In this study, from ,January 2002 to ,January 2006,the platelet count and liver function in 153 splenomegaly and hypersplenism due to cirrhosis patients who had been carried out splenectomy were selected. The change tendency of platelet count was observed, the relationship of changes of platelet count and liver function was analysed,and compared with patients of spleen trauma. Results ： Postoperative platelet count was higher than preoperatively in most patients with cirrhosis,the portion did not elevate,even decreased, The change tendency of platelet count was correlated with the Ilver function. The change in cirrhosis patients is not more than patients of sPleen trauma. Conclusions ： The reason of thrombocytopenia in patients with cirrhosis may be correlated with the change of liver function besides the splenomegaly.
出处
《中国现代普通外科进展》
CAS
2006年第6期352-354,共3页
Chinese Journal of Current Advances in General Surgery
基金
黑龙江省自然科学重点基金资助项目(ZJY04-0101)
