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脾切除术对于门静脉高压继发的血小板减少症是禁忌的。

Splenectomy is contraindicated for thrombocytopenia secondary to portal hypertension.

作者信息

el-Khishen M A, Henderson J M, Millikan W J, Kutner M H, Warren W D

出版信息

Surg Gynecol Obstet. 1985 Mar;160(3):233-8.

PMID:3975794
Abstract

We believe that splenectomy is contraindicated in patients with portal hypertension and secondary hypersplenism. The greatest threat to life in this group of patients is variceal bleeding, and the primary consideration in the management of these patients should be to control this bleeding. Concomitant improvement in the hematologic indices of hypersplenism is achieved by DSRS.

摘要

我们认为,脾切除术对于门静脉高压症和继发性脾功能亢进患者是禁忌的。这类患者最大的生命威胁是曲张静脉出血,对这些患者进行治疗时的首要考虑应该是控制这种出血。通过门奇静脉断流术(DSRS)可同时改善脾功能亢进的血液学指标。

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