| 特发性血小板减少性紫癜脾切除术后早期并发症 |
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| 引用本文： | 徐茂强,钱林生.特发性血小板减少性紫癜脾切除术后早期并发症[J].中国实用外科杂志,1999,19(12):719-720. |
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| 作者姓名： | 徐茂强 钱林生 |
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| 作者单位： | 中国医学科学院中国协和医科大学血液学研究所血液病医院!天津300020，中国医学科学院中国协和医科大学血液学研究所血液病医院!天津300020，中国医学科学院中国协和医科大学血液学研究所血液病医院!天津300020，中国医学科学院中国协和医科大学血液学研究所血液病医院!天津300020 |
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| 摘 要： | 目的 评估脾切除治疗特发性血小板减少性紫癜（ＩＴＰ）的安全性。方法 回顾分析了１６７例ＩＴＰ选择性脾切除术的术后早期并发症。结果 １４例（８．３８％）病人出现１７例次术后早期并发症；切口感染７例，腹腔大出血２例，颅内出血２例，膈下脓肿１例，肺感染１例，应激性高血糖反应４例。２例（１．２０％）术后并发颅内出血死亡。结论 选择性脾切除术是ＩＴＰ一种安全的治疗手段。
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| 关 键 词： | 手术后并发症 脾切除术 血小板减少性 紫癜 |
Early postoperative complications of splenectomy for idiopathic thrombocytopenic purpura. |
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| Xu Maoqiang,Qian Linsheng,Wang Zhijun,et al..Early postoperative complications of splenectomy for idiopathic thrombocytopenic purpura.[J].Chinese Journal of Practical Surgery,1999,19(12):719-720. |
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| Authors: | Xu Maoqiang Qian Linsheng Wang Zhijun |
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| Institution: | Xu Maoqiang,Qian Linsheng,Wang Zhijun,et al.Institute of Hematology and Blood Diseases Hospital,CAMS and PUMC,Tianjin 300020 |
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| Abstract: | Objective To evaluate the safety of splenectomy for idiopathic thrombocytopenic purpura.Methods Early postoperative complications of 167 elective splenectomy for idiopathic thrombocytopenic purpura(ITP) from June 1986 to May 1999 were retrospectively analyzed.Results The postoperative complication rate was 8.38%(17 complications in 14 patients).This included wound infection(7),intraabdominal bleeding(2),intracranial hemorrhage(2),subphrenic abscess(1),pneumonia(1) and stress diabetes(4).2 patients(1 20%) died of intracranial hemorrhage following operation.Conclusion This study confirms that splenectomy is a safe treatment for ITP. |
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| Keywords: | Postoperative complication Splenectomy Idiopathic thrombocytopenic purpura |
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