|
|||||
|
|
| 脾切除术后门静脉系统血栓形成的临床分析 | |
| 引用本文： | 浦涧,汪建初,陆涛,韦邦宁,卢冠铭,马日海,马燕飞,吴贤建. 脾切除术后门静脉系统血栓形成的临床分析[J]. 重庆医学, 2009, 38(21) |
| 作者姓名： | 浦涧 汪建初 陆涛 韦邦宁 卢冠铭 马日海 马燕飞 吴贤建 |
| 作者单位： | 右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000;右江民族医学院附属医院肝胆外科,广西百色,533000 |
| 摘 要： | 目的 探讨脾切除术后门静脉血栓(PSVT)形成的危险因素及防治方法.方法 搜集2004年1月至2008年12月行脾切除的86例病例资料,根据手术后是否行抗凝治疗分为抗凝组(n=47)和对照组(n=39),术后第1、2、4、8、12周分别行门静脉多普勒超声检查,明确是否存在门静脉系统血栓,同时检查血小板计数及D-二聚体.结果 PSVT发生率为12.64%,抗凝组术后12周共有3例并发PSVT,发生率为6.38%,形成时间在第2周2例,第4周1例.对照组39例中门静脉血栓形成8例,发生率为20.51%.第2周6例,第4周2例.抗凝组与治疗组比较,差异有统计学意义,巨脾术后PSVT发生率为20.7%,地中海贫血脾切除术后PSVT发生率为20%,均较其他类型高.结论 巨脾及血液系统疾病脾切除术后PSVT发生率高.血栓形成高峰在术后第2～4周.术后抗凝治疗能够降低门静脉系统血栓发生率. |
| 关 键 词： | 脾切除术后 门静脉血栓 抗凝治疗 |
Clinical analysis on portal vein thrombosis after splenectomy |
|
| PU Jian,WANG Jian-chu,LU Tao,et al.. Clinical analysis on portal vein thrombosis after splenectomy[J]. Chongqing Medical Journal, 2009, 38(21) | |
| Authors: | PU Jian WANG Jian-chu LU Tao et al. |
| Affiliation: | PU Jian,WANG Jian-chu,LU Tao,et al.(Department of Hepatobiliary Surgery,Affliated Hospital of Youjiang Medical College for Nationalities,Baise,Guangxi 533000,China) |
| Abstract: | Objective To investigate the risk factors,incidence of portal vein thrombosis(PSVT) and the prophylactic methods of portal vein thrombosis develepment after splenectomy.Methods Eighty-six cases were included in this research,which were derived from the patients who underwent splenectomy during Janaury,2004 to December,2008.The cases were divided into coagulation group(47) and control group(39) according to whether anticoagulation therapy was carried out.Doppler ultrasonography of the portal vein and the pla... |
| Keywords: | splenectomy portal vein thrombosis anticoagulant therapy |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |