部分脾栓塞术后发热机理及其处理(1)
 |
| 第1页 |
参见附件(411KB，3页)。
【摘要】 目的 探讨部分脾动脉栓塞术后发热的发生原因及处理办法。方法 23例脾功能亢进，均为肝硬化门脉高压合并脾亢者，术前Child - Pugh分级A级3例，B级12例，C级8例，23例均有一种或多种以上血细胞减少。采取经股动脉穿刺插管行部分脾动脉栓塞术(PSE)，栓塞材料为明胶海绵，术后定期复查血常规、肝功能、血尿淀粉酶、彩超，随诊2个月~1年。结果 本组病例PSE术后均出现不同程度的发热，术后发热及其严重程度与病例选择、栓塞面积及栓塞部位有直接关系。结论 掌握合适的适应证、充分的术前准备，把握合适的栓塞面积与部位，术后加强抗炎及对症处理均可减少或减轻并发症。
【关键词】 脾功能亢进;栓塞;发热
【Abstract】 Objective To study the causes of fever related to partial splenic embolization (PSE) and their management.Methods 23 patients with hypersplenism received transfer artery partial embolization using sponge. Blood routine, liver function, blood amylase, urine amylase, color Doppler were tested regularly after PSE the follow – up period range from 2 months to 1 year.Results Fever of vary degree were found in 23 patients， the incidence rate of fever after PSE related directly to the choose of case and the embolization extent ......
您现在查看是摘要介绍页，详见PDF附件(411KB，3页)。