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合并甲状腺机能亢进的门静脉高压症的治疗

王新保 杨镇 李德旭 邓小荣 李大鹏 裘法祖

中国实用外科杂志2001,Vol.21Issue(3):152-153,2.
中国实用外科杂志2001,Vol.21Issue(3):152-153,2.

合并甲状腺机能亢进的门静脉高压症的治疗

Managiment of portal hypertension complicated with hyperthyroidism

王新保 1杨镇 1李德旭 1邓小荣 1李大鹏 1裘法祖1

作者信息

  • 1. 华中科技大学同济医学院附属同济医院
  • 折叠

摘要

Abstract

Objective To summarize the experience of managing portal hypertension( PHT) complicated with hyperthyroidism. Methods 5 patients with hyperthyroidism complicated PHT were performed with splenectomy plus pericardial devascularization after preoperative management, and the experience of pre- and postoperative management was summarized. Results 1 patient occurred postoperative thyroid crisis and was cured with tranquilizing, prenisone and sodium iodide;the other 4 went through perioperation safely. The preoperative WBC,RBC,Hb and Pt were(2.018±0.536)×109/L,(2.97±0.42)×1012/L,(87±15.6)g/L and (38.4±13.24)×109/L, respectively, which rose to (6.54±0.398)×109/L, (3.636±0.387)×1012/L, (108.6±9.633)g/L and (240.4±84.54)×109 /L, respectively after operation. WBC and platelets of all patients reached normal level postoperatively. Conclusion Proper perioperative management ensures that patients with hyperthyroidism complicated PHT survive the splenectomy plus pericardial devascularization, which renders opportunity for treating hyperthyroidism with medicine or surgery.

关键词

甲状腺机能亢进门静脉高压

分类

医药卫生

引用本文复制引用

王新保,杨镇,李德旭,邓小荣,李大鹏,裘法祖..合并甲状腺机能亢进的门静脉高压症的治疗[J].中国实用外科杂志,2001,21(3):152-153,2.

中国实用外科杂志

OA北大核心CSCD

1005-2208

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