摘要
本文对7例门静脉高压症远端脾腔分流术后的血液流变学变化进行了观察,并设脾切除术组为对照组。结果发现:远端脾腔分流术后血液高粘滞轻,术后7～14d红细胞变形性改善;脾切除术术后血液高粘滞明显;而且远端脾腔分流术后血液高粘滞较脾切除术明显降低,主要表现在红细胞聚集性与变形性及血小板数等指标,这可能与脾脏的保留有关;术后血液高粘滞引起的并发症可能较脾切除术少。
The hemorrheological changes were observed in 7 cases with portal hypertension after they were operated on with distal splenocaval shunt (DSCS). Similar cases with splenecto-my served as controls. It was found that blood hyperviscosity was slightly decreased after DSCS and the deformability of erythrocytes was improved from 7 to 14 days after DSCS. But blood hyperviscosity was significantly increased in the cases after splenectomy. Blood hyperviscosity was lower in the cases with DSCS than in those with splenectomy. Blood hyperviscosity , expressed mainly by the aggregation rate and deformability of erythrocytes, platelet count, etc, is dependent on the spleen. Since the spleen is preserved in DSCS so blood hyperviscosity is slightly decreased and complications due to blood hyperviscosity may be less in number after DSCS.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1993年第6期532-535,共4页
Journal of Third Military Medical University
关键词
脾疾病
外科手术
血液流变学
splenic diseases/SU
distal splenocaval shunt
hemorrheology
