晚期血吸虫病巨脾型患者脾切除后血常规检查结果分析

目的观察晚期日本血吸虫病（晚血）巨脾型患者接受外科脾切除手术治疗后的血常规变化情况，以探讨其脾功能亢进能否得以纠正。方法选取105例晚血脾切除术患者和105例晚血巨脾有手术指征者分别进行血常规检查，对其自细胞、红细胞和血小板数的变化情况进行对比分析。结果接受外科治疗切脾手术者白细胞、红细胞和血小板数分别为5．63±1．82（G／L）、4．17±0．72（T／L）和133±75（G／L）；而晚血巨脾有手术指征者其白细胞、红细胞和血小板数分别为3．73±1．45（G／L）、3．70±0．71（T／L）和71±49（G／L）；差异有统计学意义（P〈0．01）。结论晚血巨脾型患者接受外科脾切除治疗后可以纠正脾功能亢进，提高全血细胞数量，有积极临床意义。

Blood Routine Examination of Late -stage Megalosplenia Schistosomiasis Patients After Being Splenectomized

Objective To observed the blood routine examination results of late - stage megalosplenia schistoso- miasis patients after being splenectomized, and to discuss whether the hypersplenism could be improved. Methods A sample of 105 late - stage megalosplenia schistosomiasis patients after being splenectomized and another 105 late -stage megalosplenia schistosomiasis patients with indications of operation were separately se- lected and compared in terms of white blood cell, red blood cell and blood platelet. Results The counts of white blood cell, red blood cell and blood platelet were respectively 3.73± 1.45 （ G/L）, 3.70 ±0. 71 （T/L） and71± 49 （G/L） in patients after operation, and3.73 ± 1.45 （G/L）, 3.70 ± 0.71 （T/ L） and 71 ± 49 （G/L） in the patients with operation indications, the difference between the two groups showed statistical significant （ all P 〈 O. O1 ） late -stage megalosplenia schistosomiasis patients of clinical significance. Conclusion Splenectomy could improve hypersplenism in and increase the number complete blood cells, and thus is