晚期血吸虫病巨脾切除术围术期处理的难点与对策  

Difficulties and countermeasures for the perioperative management of megasplenectomy in patients with advanced schistosomiasis

作　　者：潘舸[1] 邓维成[1] 刘佳新[1] 李捷玲[1] PAN Ge;DENG Wei-Cheng;LIU Jia-Xin;LI Jie-Ling(Hunan Institute of Parasitic Diseases,WHO Collaborating Center on Schistosomiasis Control in Lake Regions,Hunan Key Laboratory of Immunology and Transmission Control of Schistosomiasis,National Key Clinical Specialty,Yueyang 414000,China)

机构地区：[1]湖南省血吸虫病防治所、WHO湖区血吸虫病防治合作中心、血吸虫病免疫与传播控制湖南省重点实验室、国家临床重点专科,岳阳414000

出　　处：《中国血吸虫病防治杂志》2020年第3期323-325,共3页Chinese Journal of Schistosomiasis Control

基　　金：血吸虫病国家临床重点专科(卫办医政函2012-649)。

摘　　要：因巨脾型晚期血吸虫病病因、病理、临床特征、预后有其特殊性,故其围术期处理也有所不同。本文针对晚期血吸虫病巨脾切除术围术期处理的难点问题,包括超低血小板、广泛严重粘连性巨脾、术中大出血、门静脉血栓形成等,进行分析和讨论并提出处理对策,旨在指导晚期血吸虫病临床救治工作,从而改善患者预后、减少并发症发生、提高患者生活质量。The etiology, pathology, clinical features and prognosis of megalosplenic advanced schistosomiasis have their specif-ic features, and therefore, the perioperative management of this disorder has special countermeasures. The review analyzes thedifficult problems in the perioperative management of megalosplenic advanced schistosomiasis, including ultra-low plateletcounts, extensive and severe adhesive splenomegaly, massive hemorrhage during surgery and portal vein thrombosis, and propos-es countermeasures to tackle these problems, with aims to guide the clinical treatment and cure of schistosomiasis, thereby im-proving the prognosis, reducing complications and improving the quality of life.

关 键 词：晚期血吸虫病 巨脾切除术 围术期 策略 

分 类 号：R532.21[医药卫生—内科学]