Chin J Schisto Control ›› 2020, Vol. 32 ›› Issue (3): 323-.

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

PAN Ge, DENG Wei-Cheng△*, LIU Jia-Xin, LI Jie-Ling   

  1. 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
  • Online:2020-05-16 Published:2020-05-16

晚期血吸虫病巨脾切除术围术期处理的难点与对策

潘舸,邓维成△*,刘佳新,李捷玲   

  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)
  • 作者简介:潘舸,男,副主任医师。研究方向:血吸虫病基础与临床、门脉高压症外科 邓维成,男,主任医师。研究方向:公共卫生管理、血吸虫病防治
  • 基金资助:
    血吸虫病国家临床重点专科(卫办医政函2012?649)

Abstract: The etiology, pathology, clinical features and prognosis of megalosplenic advanced schistosomiasis have their specific features, and therefore, the perioperative management of this disorder has special countermeasures. The review analyzes the difficult problems in the perioperative management of megalosplenic advanced schistosomiasis, including ultra?low platelet counts, extensive and severe adhesive splenomegaly, massive hemorrhage during surgery and portal vein thrombosis, and proposes countermeasures to tackle these problems, with aims to guide the clinical treatment and cure of schistosomiasis, thereby improving the prognosis, reducing complications and improving the quality of life.

Key words: Advanced schistosomiasis, Megasplenectomy, Perioperative period, Strategy

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。  

关键词: 晚期血吸虫病, 巨脾切除术, 围术期, 策略

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