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不同病因行脾切除术后血小板变化趋势探讨

张涛 范顺利 吕少诚 潘飞 贺强 郎韧

解放军医学院学报2018,Vol.39Issue(1):13-15,3.
解放军医学院学报2018,Vol.39Issue(1):13-15,3.DOI:10.3969/j.issn.2095-5227.2018.01.004

不同病因行脾切除术后血小板变化趋势探讨

Trend of platelet count after splenectomy by different reasons

张涛 1范顺利 1吕少诚 1潘飞 1贺强 1郎韧1

作者信息

  • 1. 首都医科大学附属北京朝阳医院 肝胆外科, 北京 100020
  • 折叠

摘要

Abstract

Objective To observe the platelet changes in patients after splenectomy with different reasons and discuss its clinical significance. Methods Clinical data about 74 cases who underwent splenectomy in our hospital from January 2011 to December2016 were analyzed. Of the 74 cases, 42 cases had pancreatic carcinoma, 18 cases had splenic rupture and 14 cases had hyperspenism. Then the changes in platelet of these patients in three groups were analyzed and compared. Results The quantity of platelet of patients in three groups all increased after surgery. It peaked at 2 weeks after operation with the value of (602.23土180.86) × 109/L in pancreatic carcinoma group and (637.44±188.34) × 109/L in splenic rupture group, versus at 1 month after operation with the value of (581.78 ± 227.52) × 109/L in hyperspenism group. Then it returned to normal level at 2 months after operation in all the groups. Conclusion After splenectomy, the quantity of platelet peaks at 2 weeks in pancreatic cancer group and splenic rupture group, while in hyperspenism group, this interval is 1 month. However, it returns to normal level at 2 months in all groups.

关键词

脾切除术/血小板/胰腺癌/脾破裂/脾亢

Key words

splenectomy/platelet/pancreatic carcinoma/splenic rupture/hypersplenism

分类

医药卫生

引用本文复制引用

张涛,范顺利,吕少诚,潘飞,贺强,郎韧..不同病因行脾切除术后血小板变化趋势探讨[J].解放军医学院学报,2018,39(1):13-15,3.

解放军医学院学报

OACSTPCD

2095-5227

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