How does platelet drop after splenectomy return a responsibility
summary
Any normal content in the human body will regulate the normal life activities of the human body to a certain extent. For example, we often say platelets. Their normal condition can control the blood condition to a certain extent. However, the content may change for some reasons. Let's talk about the decrease of platelets after splenectomy.
How does platelet drop after splenectomy return a responsibility
First: To observe whether there is internal bleeding, routine measurement of blood pressure, pulse and hemoglobin changes. Observe the drainage tube of subphrenic splenic fossa. If there is a tendency of internal bleeding, timely blood transfusion and rehydration should be carried out. If it is persistent massive bleeding, reoperation should be considered to stop bleeding. Splenectomy can stimulate abdominal viscera (especially stomach), so gastrointestinal decompression tube should be placed to prevent postoperative gastric dilatation. After 2-3 days, the patients resumed eating.
Second, many patients undergoing splenectomy have poor liver function. They should be fully supplemented with vitamins and glucose after operation. If they are suspected of hepatic coma, corresponding preventive measures should be taken in time. Pay attention to the changes of renal function and urine volume, and be alert to the occurrence of hepatorenal syndrome. Antibiotics were routinely used to prevent and treat systemic and subphrenic infections.
Third: timely determination of platelet count. If the platelet count rises rapidly to more than 50 × 109 / L, splenic vein thrombosis may occur. If severe abdominal pain and bloody stool appear again, it indicates that the thrombosis has spread to superior mesenteric vein. Anticoagulant therapy should be used in time. If necessary, surgical treatment complications: intra-abdominal hemorrhage is one of the more dangerous complications after splenectomy, and the main reason is living Dynamic bleeding and intra-abdominal bleeding.
matters needing attention
If splenectomy is not handled properly, there may be many complications after operation, because abdominal hemorrhage may occur. This is a particularly serious phenomenon. In the postoperative must pay attention to the detection of platelet content in patients, because if not pay attention to the consequences may cause particularly serious consequences.
