远端脾肾分流术对脾功能亢进的影响。
The effect of the distal splenorenal shunt on hypersplenism.
作者信息
Hutson D G, Zeppa R, Levi J U, Schiff E R, Livingstone A S, Fink P
出版信息
Ann Surg. 1977 May;185(5):605-12. doi: 10.1097/00000658-197705000-00014.
Abstract
Twenty-four patients with leukopenia and/or thrombocytopenia improved these deficiencies after distal splenorenal shunts. The average white blood cell count for 23 neutropenic patients increased by an average 1000 cells/cu.mm p less than .01. The average platelet count for 13 thrombocytopenic patients increased by more than 40,000, p less than .02. Analysis of the data showed that patients older than 50 years, with a history of alcoholic liver disease and sinusoidal hypertension greater than 15mm Hg were most likely to correct leukocyte and platelet defects after distal splenorenal shunts.
摘要
24例白细胞减少和/或血小板减少的患者在接受远端脾肾分流术后，这些血细胞减少症得到改善。23例中性粒细胞减少患者的平均白细胞计数平均每立方毫米增加1000个细胞，p值小于0.01。13例血小板减少患者的平均血小板计数增加超过40,000，p值小于0.02。数据分析表明，年龄超过50岁、有酒精性肝病病史且窦性高血压大于15mmHg的患者在接受远端脾肾分流术后最有可能纠正白细胞和血小板缺陷。
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