Bocian R, Sołtysiak A
II Kliniki Chirurgicznej Instytutu Chirurgii AM, Lodzi.
Pol Tyg Lek. 1992;47(3-4):84-5.
The authors present their own comments on the effect of Warren shunt on hypersplenism. Hypersplenism is frequent complication in portal hypertension. The authors estimate its frequency on 64.7% of patients. Spleen size, thrombocyte count, WBC count, and esophageal endoscopy have been carried out prior to and following distal spleno-renal shunt. Surgery produced favourable effect in 70% of patients, i.e. a decrease of hypersplenism symptoms. An increase in blood platelet count may serve as a screening marker of anastomosis patency.
作者就Warren分流术对脾功能亢进的影响发表了自己的见解。脾功能亢进是门静脉高压症常见的并发症。作者估计其在患者中的发生率为64.7%。在远端脾肾分流术前后均进行了脾脏大小、血小板计数、白细胞计数及食管内镜检查。手术对70%的患者产生了良好效果,即脾功能亢进症状减轻。血小板计数升高可作为吻合口通畅的筛查指标。