中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
10期
1755-1756
,共2页
脾切除术%紫癜%血小板减少性%特发性%治疗结果
脾切除術%紫癜%血小闆減少性%特髮性%治療結果
비절제술%자전%혈소판감소성%특발성%치료결과
Splenctomy%Purpura,Thrombocytopenic,Idiopathic%Treatment outcome
目的 观察脾切除治疗特发性血小板减少性紫癜(ITP)患者的疗效.方法 对9例ITP患者在皮质激素治疗效果不佳、有皮质激素治疗禁忌、不能耐受皮质激素治疗或其他自身原因拒绝接受皮质激素治疗的情况下采用脾切除治疗.结果 术后第1、4、7天血小板平均值由术前的35×109/L分别上升为98×109/L、179×109/L和235×109/L;术后随访半年以上,显效7例,总有效率88.9%.结论 脾切除治疗仍是ITP患者值得推荐的一种方法,尤其是药物治疗无效、有禁忌或不能耐受药物治疗的患者.
目的 觀察脾切除治療特髮性血小闆減少性紫癜(ITP)患者的療效.方法 對9例ITP患者在皮質激素治療效果不佳、有皮質激素治療禁忌、不能耐受皮質激素治療或其他自身原因拒絕接受皮質激素治療的情況下採用脾切除治療.結果 術後第1、4、7天血小闆平均值由術前的35×109/L分彆上升為98×109/L、179×109/L和235×109/L;術後隨訪半年以上,顯效7例,總有效率88.9%.結論 脾切除治療仍是ITP患者值得推薦的一種方法,尤其是藥物治療無效、有禁忌或不能耐受藥物治療的患者.
목적 관찰비절제치료특발성혈소판감소성자전(ITP)환자적료효.방법 대9례ITP환자재피질격소치료효과불가、유피질격소치료금기、불능내수피질격소치료혹기타자신원인거절접수피질격소치료적정황하채용비절제치료.결과 술후제1、4、7천혈소판평균치유술전적35×109/L분별상승위98×109/L、179×109/L화235×109/L;술후수방반년이상,현효7례,총유효솔88.9%.결론 비절제치료잉시ITP환자치득추천적일충방법,우기시약물치료무효、유금기혹불능내수약물치료적환자.
Objective To investigate the effects of splenctomy on the idiopathic thrombocytopenic purpura (ITP) patients. Methods 9 patients with ITP were involved in the present study,who were performed with splenecto-my because of refractoriness, contraindicatiun and intolerance during corticosteroids therapy. Results The average platelet count of the patients before operation was 35×109/L,while the first,4th and 7th day after operation,the aver-age platelet count was 98×109/L, 179×109/L and 235×109/L. After follow-up for 6 months,there were 7 cases having marked improvement, and the total effective rate was 88.9%. Conclusion Splenectomy is a recommendable method for ITP, expecially for those are inefficient,incompatible and intolerated to continually pharmacotherapy.
