| 腹腔镜脾切除治疗原发性血小板减少性紫癜(附8例报告) |
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| 引用本文： | 姜耕,胡凯,刘荆,张彦. 腹腔镜脾切除治疗原发性血小板减少性紫癜(附8例报告)[J]. 腹腔镜外科杂志, 2006, 11(5): 376-377 |
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| 作者姓名： | 姜耕 胡凯 刘荆 张彦 |
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| 作者单位： | 荆州市第二人民医院,湖北,荆州,434000;荆州市第二人民医院,湖北,荆州,434000;荆州市第二人民医院,湖北,荆州,434000;荆州市第二人民医院,湖北,荆州,434000 |
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| 摘 要： | 目的:探讨腹腔镜脾切除术(LS)治疗原发性血小板减少性紫癜(ITP)的临床意义。方法:回顾分析8例LS治疗ITP的临床资料。结果:8例均治愈,无再发出血,血小板总数上升为7.8×109~29.1×109/L,1例5.1×109/L,经糖皮质激素治疗(15mg/d),3月后停药,1例脾窝积液,2例脾热,经抗炎对症治疗后14d痊愈。结论:LS治疗ITP是一种理想的治疗方法。
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| 关 键 词： | 脾切除术 血小板减少症 腹腔镜 |
| 文章编号： | 1009-6612（2006）05-0376-02 |
| 收稿时间： | 2006-07-07 |
| 修稿时间： | 2006-07-07 |
Laparoscopic splenectomy in treatment of idiopathic thrombocytopenic purpura |
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| JIANG Geng,HU Kai,LIU Jing,et al.. Laparoscopic splenectomy in treatment of idiopathic thrombocytopenic purpura[J]. Journal of Laparoscopic Surgery, 2006, 11(5): 376-377 |
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| Authors: | JIANG Geng HU Kai LIU Jing et al. |
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| Affiliation: | JIANG Geng,HU Kai,LIU Jing,et al.The Second People's Hospital of Jingzhou City,Jingzhou 434000,China |
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| Abstract: | Objective:To study the clinical value of laparoscopic splenectomy in treatment of idiopathic thrombocytopenic purpura(ITP).Methods:The data of 8 cases with ITP underwent laparoscopic splenectomy were analysed retrospectively.Results:All cases were cured and no rebleeding occured.The amount of platelet raises up to 7.8×10~9-29.1×10~9/L in 7 cases.1 case whose amount of platelet was 5.1×10~9/L received treatment of glucocorticoid(15mg/d)for 3 months.There were splenic recess hydrops in 1 case and splenic fever in 2 cases.These 3 cases were cured by anti-inflammatory and symptomatic treatment.Conclusions:Laparoscopic splenectomy is an ideal method for patients with idiopathic thrombocytopenic purpura. |
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| Keywords: | Splenectomy Thrombocytopenia Laparoscopy |
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