真性红细胞增多症中的脾梗死：脾脏能否得以挽救？

Splenic infarction in polycythaemia vera: can the spleen be saved?

作者信息

Inamdar Sonali, Sangle Shashikala, Bote Nitin N, Nagargoje Nitin

出版信息

J Assoc Physicians India. 2014 Mar;62(3):276-8.

Abstract

Polycythaemia vera is associated with thrombotic phenomenon due to hyperviscosity of blood. Splenic infarction with splenomegaly is a catastrophic complication usually requiring splenectomy. We describe a case of splenic infarction as an initial manifestation of polycythaemia vera which was treated with serial phlebotomies and hydroxyurea alone, without the need for surgery.

摘要

真性红细胞增多症与血液高黏滞度导致的血栓形成现象相关。伴有脾肿大的脾梗死是一种灾难性并发症，通常需要行脾切除术。我们描述了一例以脾梗死为真性红细胞增多症初始表现的病例，该病例仅通过连续放血和使用羟基脲进行治疗，无需手术。