外伤性脾破裂患者脾切除术后发生血小板增多的危险因素分析  

Analysis of Risk Factors for Thrombocytosis after Splenectomy in Patients with Traumatic Splenic Rupture

作　　者：马春龙 MA Chunlong(Department of Hepatobiliary Pancreatic Surgery,Third People’s Hospital of Jinan,Jinan 250132,China)

机构地区：[1]济南市第三人民医院肝胆胰腺外科,山东济南250132

出　　处：《反射疗法与康复医学》2025年第1期92-95,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析外伤性脾破裂患者脾切除术后发生血小板增多的危险因素。方法选取2020年7月—2024年7月济南市第三人民医院收治的100例外伤性脾破裂患者为研究对象,患者均行脾切除术,统计其术后血小板增多发生率,另收集患者的性别、年龄等相关资料,探讨影响其血小板增多发生的高危因素。结果100例行脾切除术的外伤性脾破裂患者中,发生血小板增多12例,血小板增多发生率为12.00%(12/100)。单因素分析显示,两组年龄、性别、吸烟史、饮酒史、高血压、糖尿病、冠心病、发病到手术时间、脾损伤分级、肝功能child分级比较,组间差异无统计学意义(P>0.05);两组休克、输血量、感染比较,组间差异有统计学意义(P<0.05)。Logistic回归分析结果显示,休克、输血量≥2000 mL、感染是影响外伤性脾破裂患者脾切除术后发生血小板增多的独立危险因素(P<0.05)。结论休克、输血量≥2000 mL、感染是影响外伤性脾破裂患者脾切除术后发生血小板增多的高危因素,对此临床需行重点关注,积极施行个体化的防范措施,以改善患者预后。Objective To analyze the risk factors for thrombocytosis in patients with traumatic splenic rupture after splenectomy.Methods A total of 100 patients with traumatic splenic rupture admitted to the Third People's Hospital of Jinan from July 2020 to July 2024 were selected and underwent splenectomy.The incidence of postoperative thrombocytosis was recorded,and relevant data such as gender and age were collected to explore the high-risk factors affecting the occurrence of thrombocytosis.Results Among 100 patients with traumatic splenic rupture who underwent splenectomy,12 patients had thrombocytosis,and the incidence of thrombocytosis was 12.00%(12/100).Univariate analysis showed that there were no significant differences in age,gender,smoking history,drinking history,hypertension,diabetes,coronary heart disease,time from onset to operation,spleen injury grading,and liver function child grading between the two groups(P>0.05);there were significant differences in shock,blood transfusion and infection between the two groups(P<0.05).Logistic regression analysis showed that shock,transfusion volume≥2000 mL,and infection were independent risk factors for thrombocytosis after splenectomy in patients with traumatic splenic rupture(P<0.05).Conclusion Shock,transfusion volume≥2000 mL,and infection are high-risk factors for thrombocytosis after splenectomy in patients with traumatic splenic rupture.Clinical attention should be paid to these factors,and individualized preventive measures should be actively implemented to improve patient prognosis.

关 键 词：外伤性脾破裂 脾切除术 血小板增多 危险因素 

分 类 号：R61[医药卫生—外科学]