How does platelet rise to return a responsibility after splenectomy

summary

Just finished splenectomy, under the advice of the doctor, I stayed in the hospital for a few days to observe. After the operation, I didn't feel much. However, the doctor found that the platelets increased, so I have to observe them in the hospital. Now let me talk about the platelets increased after splenectomy.

How does platelet rise to return a responsibility after splenectomy

First: thrombocytosis, thrombocytosis is an inevitable phenomenon after splenectomy, occasionally after subtotal splenectomy or SPLENOPLASTY. The increase of platelet count generally does not exceed 500x109 / L. if the spleen is removed with normal function (such as traumatic splenic rupture), the platelet count will not continue to rise after operation, and often falls to the normal level within 1-3 weeks.

Second: thrombocytosis after splenectomy can lead to some serious problems, the most serious complications are mostly seen in myelodysplastic syndrome. In patients with myelodysplastic syndrome after splenectomy, the preoperative platelet count is normal or increased, and there is a risk of thrombotic complications no matter how the platelet count increases after operation.

Third, dipyridamole (dipyridamole) or low-dose aspirin should be used in the early postoperative period to prevent thrombosis, that is, heparin or warfarin sodium should be given. The above anticoagulant therapy must be carried out under close supervision, because patients with myeloproliferative syndrome are extremely sensitive to anticoagulant therapy.

matters needing attention

Spleen bad people, often because in peacetime do not pay attention to diet, after splenectomy, patients should pay attention to absolutely can not be the same as before, resolutely put an end to spicy food, in addition, do not drink and smoke, develop a good living habits.