脾切除术后静脉血栓形成防治的研究

目的：探讨脾脏切除术后血栓形成防治策略。方法：回顾分析2003年以来收治脾切除术患者的临床资料。结果：98例脾脏切除术后患者中,84例有不同程度血小板升高,需要预防性治疗的67例,门静脉血栓形成的1例,脾静脉血栓形成的3例,肠系膜血管血栓形成的1例。结论：脾脏切除术后复查血常规、超声或CT及随访对静脉血栓形成的早期发现和及时治疗有着重要意义。

Prevention and Treatment of Vein Thrombosis after Splenectomy

Objective： To explore the preventive strategy of vein thrombosis after splenectomy. Methods： The clinical data of the patients treated with splenectomy since 2003 were analyzed retrospectively. Results： Of 98 patients of splenectomy, 84 patients suffered from the increased platelet count of different degrees, 67 patients were in need of preventive treatment, 1 patient got portal vein thrombosis, 3 patients had splenic vein thrombosis and 1 patient had mesenteric vascular thrombosis. Conclusion ： Blood routine examination, ultrasound or CT and follow - up are of great significance to early discovery and timely treatment of venous thrombosis after splenectomy.