世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
29期
29-30
,共2页
脾功能亢进%介入栓塞%并发症
脾功能亢進%介入栓塞%併髮癥
비공능항진%개입전새%병발증
Hypersplenism%Interventional embolization%Complications
目的：探讨脾动脉栓塞术对脾功能亢进的疗效及并发症的处理措施。方法回顾分析2012年3月至2014年7月间29例行脾动脉栓塞术患者的血象变化情况及术后并发症的预防、发生及处理措施。结果29例患者,栓塞术后血小板、白细胞均有较明显回升，与术前比较P ＜0.05，有统计学意义，红细胞未见明显变化。29例术后均发生不同程度的栓塞后综合征，左侧少量胸水4例、大量胸水1例，脾脓肿1例，顽固性呃逆2例，术后持续发热5例，穿刺点血肿1例，左侧下肢深静脉血栓1例。未发生脾脏破裂、胰腺炎等并发症。结论部分性脾动脉栓塞术后外周血白细胞及血小板较术前明显升高，部分性脾动脉栓塞术后可出现一些并发症，基本都可以恢复。脾动脉栓塞术是治疗脾功能亢进的有效手段，值得临床推广。
目的：探討脾動脈栓塞術對脾功能亢進的療效及併髮癥的處理措施。方法迴顧分析2012年3月至2014年7月間29例行脾動脈栓塞術患者的血象變化情況及術後併髮癥的預防、髮生及處理措施。結果29例患者,栓塞術後血小闆、白細胞均有較明顯迴升，與術前比較P ＜0.05，有統計學意義，紅細胞未見明顯變化。29例術後均髮生不同程度的栓塞後綜閤徵，左側少量胸水4例、大量胸水1例，脾膿腫1例，頑固性呃逆2例，術後持續髮熱5例，穿刺點血腫1例，左側下肢深靜脈血栓1例。未髮生脾髒破裂、胰腺炎等併髮癥。結論部分性脾動脈栓塞術後外週血白細胞及血小闆較術前明顯升高，部分性脾動脈栓塞術後可齣現一些併髮癥，基本都可以恢複。脾動脈栓塞術是治療脾功能亢進的有效手段，值得臨床推廣。
목적：탐토비동맥전새술대비공능항진적료효급병발증적처리조시。방법회고분석2012년3월지2014년7월간29례행비동맥전새술환자적혈상변화정황급술후병발증적예방、발생급처리조시。결과29례환자,전새술후혈소판、백세포균유교명현회승，여술전비교P ＜0.05，유통계학의의，홍세포미견명현변화。29례술후균발생불동정도적전새후종합정，좌측소량흉수4례、대량흉수1례，비농종1례，완고성애역2례，술후지속발열5례，천자점혈종1례，좌측하지심정맥혈전1례。미발생비장파렬、이선염등병발증。결론부분성비동맥전새술후외주혈백세포급혈소판교술전명현승고，부분성비동맥전새술후가출현일사병발증，기본도가이회복。비동맥전새술시치료비공능항진적유효수단，치득림상추엄。
Objective to explore the effect of splenic artery embolization for the hypersplenism and the countermeasures for its complications. Methods the data of 29 patients treated with splenic artery embolization between January 2012 and July 2014 were retrospectively analyzed, including hemogram change, treatment or prevention of postoperative complications.Results the number of postoperative platelets and white blood cells in 29 patients were rising better than that before operation (P<0.05), with statistical significance and the number of red blood cells showed no obvious change. All of the 29 cases occurred postoperative embolism syndrome with different degree, 4 cases with a small amount of pleural effusion in the left side, 1 case with massive pleural effusion, 1 case with splenic abscess, 2 cases with intractable hiccups, 5 cases with postoperative persisting fever, 1 case with the puncture point hematoma and 1 case with lower extremity deep vein thrombosis on the left side. no complications of spleen rupture and pancreatitis occured. Conclusion after partial splenic artery embolization, peripheral blood white cells and platelets elevated more obviously than that before operation. though postoperative complications may occurred, they can be restored. splenic artery embolization is an effective method for treatment of the hypersplenism, worthy of clinical promotion.
