摘要
目的探讨外伤性脾破裂脾切除术后血小板计数的变化情况。方法选取2013年2月至2015年2月广东省惠州市博罗县罗阳镇义和卫生院收治的24例外伤性脾破裂患者为研究对象,所有患者均常规行急诊开腹脾全切除术,观察血小板计数变化情况,并根据血小板计数给予抗血小板聚集、抗凝治疗。结果 24例患者均治愈出院,均无深静脉血栓形成、肺部感染等并发症;术后7 d开始逐步上升,14 d达峰值,术后21 d明显下降,差异均有统计学意义(均P<0.05)。结论外伤性脾破裂脾切除术后,血小板计数经历先上升后下降的过程,针对血小板计数变化给予抗血小板聚集、抗凝等治疗措施能有效预防深静脉血栓形成等并发症的发生。
Objective To investigate the traumatic splenic rupture changes of platelet count after splenectomy. Methods Selected in February 2013 to 2015 years 2 months,Guangdong Province,Huizhou City BOLUO Luo YangZhen Yi and hospitals were 24 cases of traumatic rupture of spleen in patients,all patients were underwent emergency laparotomy spleen resection,to observe the changes of platelet count and based on the platelet count antiplatelet aggregation,anticoagulation therapy.Results 24 patients were cured and discharged,no deep venous thrombosis, pulmonary infection and other complications;7 d after the operation began to rise gradually,14 d reached a peak,21 d significantly decreased,the difference was statistically significant（P〈0.05）.Conclusion Traumatic splenic rupture after splenectomy,the platelet count has increased first and then decreased,due to the change of platelet count antiplatelet aggregation,anticoagulation treatment measures can be effective in preventing deep venous thrombosis and other complications occurred.
出处
《中国药物经济学》
2015年第12期103-105,共3页
China Journal of Pharmaceutical Economics
关键词
外伤性
脾破裂
脾切除
血小板
深静脉血栓
Traumatic
Rupture
Splenectomy
Platelets
Deep vein thrombosis
