Can hypersplenism cut half?

summary

To talk about the problem of hypersplenism, referred to as hypersplenism, which is a syndrome, refers to the reduction of red blood cells, white blood cells and platelets caused by various reasons. Many patients with hematological diseases have hypersplenism in this regard. The symptom of hypersplenism tells everybody.

Can hypersplenism cut half?

Primary hypersplenism: primary hypersplenism refers to the unexplained hypersplenism. Due to the progress of diagnostics and the development of modern medicine, some previously thought to be primary hypersplenism have found the cause. Therefore, the true primary hypersplenism is less and less. The diagnosis of primary hypersplenism must exclude all other organic diseases that cause hypersplenism. Therefore, the diagnosis of this disease is an exclusive process.

Secondary hypersplenism: secondary hypersplenism is Hypersplenism Caused by a group of diseases. They include infectious diseases such as malaria, typhoid and schistosomiasis, tumors such as lymphoma and chronic lymphocytic leukemia, and hyperemia such as portal hypertension caused by various causes (mainly cirrhosis). In addition, many hematopoietic system diseases and immune hemolytic anemia also lead to varying degrees of hypersplenism.

The diagnostic criteria of hypersplenism are: 1) anemia, leukopenia and thrombocytopenia, which may exist alone or at the same time. Generally, in the early stage of the disease, leucopenia or thrombocytopenia is obvious, and in the late stage, the whole blood cells are decreased. ② There was compensatory hyperplasia in bone marrow, and hyperplasia was seen in bone marrow smear. ③ Splenomegaly, generally speaking, hypersplenism is directly proportional to the degree of splenomegaly, but in a few cases, when splenomegaly is not obvious, platelets or white blood cells have been reduced. ④ Conclusion: splenectomy is effective, and the number of blood cells can be restored or nearly normal after splenectomy.

matters needing attention

Finally, it must be emphasized that splenomegaly is not necessarily accompanied by hypersplenism, such as splenic cyst, splenic tumor, etc. on the contrary, all kinds of hemocytopenia existing when it is similar to splenomegaly are not necessarily caused by splenomegaly. At this time, we should first clarify the real cause.