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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.

DOI:10.1097/00000658-197705000-00014
PMID:856077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1396162/
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。

相似文献

1
The effect of the distal splenorenal shunt on hypersplenism.远端脾肾分流术对脾功能亢进的影响。
Ann Surg. 1977 May;185(5):605-12. doi: 10.1097/00000658-197705000-00014.
2
Correction of hypersplenism following distal splenorenal shunt.
Surgery. 1979 Oct;86(4):570-3.
3
[Is hypersplenism a contraindication of distal splenorenal shunt?].[脾功能亢进是远端脾肾分流术的禁忌证吗?]
Minerva Chir. 1980 Apr 30;35(8):543-6.
4
Splenectomy and splenorenal shunt for hypersplenism and bleeding esophageal varices.脾切除术和脾肾分流术治疗脾功能亢进和食管静脉曲张出血。
J Ky Med Assoc. 1970 Aug;68(8):507-10 passim.
5
Selection of patients with portal hypertension for splenorenal shunt.门静脉高压患者脾肾分流术的患者选择。
Ann Surg. 1973 Jul;178(1):70-4. doi: 10.1097/00000658-197307000-00015.
6
Increased platelet count as a screening test for distal splenorenal shunt patency.
Am J Surg. 1988 Jul;156(1):29-33. doi: 10.1016/s0002-9610(88)80164-8.
7
Hemodynamic patterns in human hepatic cirrhosis: a prospective randomized study of the hemodynamic sequelae of distal splenorenal (Warren) and mesocaval shunts.人类肝硬化的血流动力学模式:远端脾肾(沃伦)分流术和肠系膜上腔静脉分流术血流动力学后遗症的前瞻性随机研究。
Ann Surg. 1979 Oct;190(4):523-34. doi: 10.1097/00000658-197910000-00012.
8
Portal decompression by side-to-side splenorenal venous anastomosis. Results in 14 patients.
Arch Surg. 1971 Apr;102(4):316-21. doi: 10.1001/archsurg.1971.01350040078015.
9
Survival from acute hepatorenal syndrome following splenorenal shunt.脾肾分流术后急性肝肾综合征的生存情况。
Ann Surg. 1976 Jul;184(1):22-5. doi: 10.1097/00000658-197607000-00003.
10
[Cirrhosis with portal hypertension and hypersplenism: angiologic study preparatory to spleno-renal shunt].
Sem Hop. 1971 Nov 20;47(46):2672-4.

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The Effect of Transjugular Intrahepatic Portosystemic Shunt on Platelet Counts in Patients With Liver Cirrhosis.经颈静脉肝内门体分流术对肝硬化患者血小板计数的影响
Gastroenterol Hepatol (N Y). 2017 May;13(5):286-291.
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Abnormal hematological indices in cirrhosis.肝硬化患者的血液学指标异常。
Can J Gastroenterol. 2009 Jun;23(6):441-5. doi: 10.1155/2009/591317.
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Incidence, prevalence, and clinical significance of abnormal hematologic indices in compensated cirrhosis.代偿期肝硬化患者血液学指标异常的发生率、患病率及临床意义
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Liver fibrosis is associated with decreased peripheral platelet count in patients with chronic hepatitis B and C.肝纤维化与慢性乙型和丙型肝炎患者外周血小板计数减少有关。
Dig Dis Sci. 2007 Jun;52(6):1535-9. doi: 10.1007/s10620-006-9144-y. Epub 2007 Apr 27.
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Effect of transjugular intrahepatic portosystemic shunt on thrombocytopenia associated with cirrhosis.经颈静脉肝内门体分流术对肝硬化相关血小板减少症的影响。
Dig Dis Sci. 2000 Oct;45(10):1971-6. doi: 10.1023/a:1005694617983.
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Distal splenorenal shunts for the treatment of severe thrombocytopenia from portal hypertension in children.远端脾肾分流术治疗儿童门静脉高压所致严重血小板减少症
J Gastrointest Surg. 1999 Mar-Apr;3(2):167-72. doi: 10.1016/s1091-255x(99)80028-6.
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Does transjugular intrahepatic portosystemic shunt (TIPS) resolve thrombocytopenia associated with cirrhosis?经颈静脉肝内门体分流术(TIPS)能否解决肝硬化相关的血小板减少问题?
Dig Dis Sci. 1998 Nov;43(11):2459-62. doi: 10.1023/a:1026634215918.
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Red cell survival in patients with nonalcoholic liver cirrhosis before and after distal splenorenal shunt.非酒精性肝硬化患者在远端脾肾分流术前及术后的红细胞存活率。
J Gastroenterol. 1997 Jun;32(3):318-23. doi: 10.1007/BF02934487.
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Course of thrombocytopenia of chronic liver disease after transjugular intrahepatic portosystemic shunts (TIPS). A retrospective analysis.经颈静脉肝内门体分流术(TIPS)后慢性肝病血小板减少症的病程。一项回顾性分析。
Dig Dis Sci. 1995 Jul;40(7):1575-80. doi: 10.1007/BF02285211.

本文引用的文献

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Surgery and portal hypertension.手术与门静脉高压症
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The effect of portacaval shunt on hypersplenism.门腔分流术对脾功能亢进的影响。
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Surgical management of portal hypertension.门静脉高压症的外科治疗
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Portasystemic venous shunts (first of two parts).门体静脉分流术(两部分中的第一部分)
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