摘要
目的:探讨部分脾栓塞术(PSE)治疗肝硬化脾功能亢进发生脾栓塞综合征(SES)的发病机理及处理方法。方法:回顾性分析119例乙肝肝硬化合并脾脏肿大、脾功能亢进患者的临床资料。结果:手术均成功.随访6个月-2年,106例白细胞、血小板恢复正常或接近正常范围,有效率为89%;研究组及对照组中栓塞剂的使用、栓塞程度、术前肝功能分级对处理结果无显著性差异,对照组及研究组中-重度疼痛、中-高热发生率分别为80%、35%和88%、47%,有显著性差异,P<0.01。结论:规范的术中、术后处理能有效地降低PSE综合症的发生及并减轻症状。
Objective： To explore the mechanism of splenic embolization syndrome （SES） of partial splenic embolization （PSE） and to study the treatment. Methods： The clinical data of 119 eases of cirrhosis with hypersplenism and hypersplenotrophy were analyzed retrospectively. Results：The procedure was successful in all 119 patients. The white blood cells and platelets were normal or close to normal in 106 of 119 （89%） eases in 6 months-2 years follow-up. The medium-severe pain and the medium-high fever of SES were 80% ＆ 35% and 88% ＆ 47% in conventional group and standard group respectively, P 〈 0.01. Conclusion： The standard therapy was more effective than the conventional therapy in controlling the SES.
出处
《岭南急诊医学杂志》
2005年第3期187-188,共2页
Lingnan Journal of Emergency Medicine
