部分性脾栓塞术后不良反应的起因及应对措施  

Causes and countermeasures of adverse reactions after partial splenic embolism

作　　者：卢雄 张欢 李海庆 Lu Xiong;Zhang Huan;Li Haiqing(Interventional Department,Hezhou People's Hospital,Hezhou,Guangxi 542899,China;Department of Science and Education,Hezhou People's Hospital,Hezhou,Guangxi 542899,China)

机构地区：[1]广西贺州市人民医院介入科,广西贺州542899 [2]广西贺州市人民医院科教科,广西贺州542899

出　　处：《医药前沿》2020年第28期12-13,共2页Journal of Frontiers of Medicine

摘　　要：部分性脾栓塞术(Partial SplenicEmbolization,PSE)主要适用于肝硬化门静脉高压所致脾脏功能亢进,还应用于地中海贫血、遗传性红细胞增多症、特发性血小板减少性紫癜等血液病患者,是目前治疗肝硬化失代偿期脾亢的首选治疗方法。本文就PSE术后不良反应(肺炎、上消化道出血、脾脓肿、脾坏死、顽固性腹水、胸腔积液、肠梗阻、胰腺炎)的起因及应对措施作一综述。Partial Splenic Embolization(PSE)is mainly applied to patients with Splenic hyperfunction caused by portal hypertension in cirrhosis,and also to patients with blood diseases such as thalassemia,hereditary polycythemia,idiopathic thrombocytopenic purpura,etc.It is currently the preferred treatment method for treating hypersplenism in decompensated stage of cirrhosis.This article reviews the causes and countermeasures of PSE postoperative adverse reactions(pneumonia,upper gastrointestinal bleeding,spleen abscess,spleen necrosis,refractory ascites,pleural effusion,intestinal obstruction,pancreatitis).

关 键 词：部分性脾栓塞 术后不良反应 起因探讨 应对措施 

分 类 号：R575.2[医药卫生—消化系统]