脾切除术后血小板/白细胞比值在感染判定和血栓预测中的价值  

The value of PLT/WBC ratio in the evaluation of infection and thrombosis after splenectomy

作　　者：张燕[1] 王全楚[1] 

机构地区：[1]解放军第153中心医院感染科,河南郑州450042

出　　处：《胃肠病学和肝病学杂志》2017年第1期96-98,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨脾切除术后血小板(PLT)、白细胞(WBC)变化及PLT/WBC比值对术后感染判定及血栓形成中的价值。方法回顾性分析解放军第153中心医院2012年3月-2016年3月收治的脾切除患者115例,依据病因分为肝硬化组、创伤组、血液组,观察3组患者术后PLT、WBC及PLT/WBC比值变化规律,用以鉴别术后感染及血栓形成的几率。结果术后PLT/WBC比值在第7天逐渐≥20,对18例PLT/WBC比值<20的患者进一步查到感染灶或诊断脓毒血症;PLT升高与血栓形成密切相关,但不呈正比,而血栓形成与门静脉、脾静脉压力呈正相关。结论 PLT/WBC比值对脾切除术后感染鉴别及在血栓形成中有重要价值,值得临床进一步推广应用。Objective To investigate the value of white blood cells（WBC）,platelets（PLT） and their ratio（PLT/WBC） in the evaluation of infection and thrombosis after splenectomy. Methods One hundred and fifteen patients received in the 153 Hospital of PLA from Mar. 2012 to Mar. 2016 undergone splenectomy were analyzed retrospectively.They were divided into cirrhosis group,trauma group and hematologic group according to the etiology. The three groups of patients with postoperative WBC,PLA and PLT/WBC ratio were documented in order to evaluate the risk of infection and thrombosis. Results In most of the cases,PLT/WBC ratio on the 7th day gradually increased to more than 20,however,the PLT/WBC ratio of 18 cases was still less than 20,and they were further found infectious source or diagnosis of sepsis. Thrombosis associated with raising of PLT closely but not positive correlation,it is proportional with the pressure of portal vein and spleen vein. Conclusion WBC/PLA ratio has an important value in the evaluation of infection and thrombosis after splenectomy,it is worthy of further clinical application.

关 键 词：肝硬化 脾切除术后 血小板/白细胞比值 感染 血栓形成 

分 类 号：R575.2[医药卫生—消化系统]