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为提高肝豆状核变性伴有严重脾机能亢进病人的疗效,对150例肝豆状核变性病人中9例行脾切除及胃底贲门周围血管离断术病人的疗效进行了分析,发现术后白细胞和血小板回升至正常,消化道出血控制,病人能继续驱铜治疗,神经系统症状改善。结果提示:脾切除和胃底贲门周围血管离断术是肝豆状核变性合并严重脾机能亢进时重要的辅助治疗措施,持续驱铜治疗和围手术期控制出血倾向是手术成功的重要保证
In order to improve the hepatolenticular degeneration associated with severe hypersplenism in patients with the efficacy of 150 cases of hepatolenticular degeneration in 9 patients underwent splenectomy and gastric cardia peripheral vascular surgery patients were analyzed and found that surgery After white blood cells and platelets returned to normal, control of gastrointestinal bleeding, the patient can continue to drive copper treatment, neurological symptoms improved. The results suggest that: Splenectomy and gastric cardia around the septal vascular dementia is an important adjuvant treatment of hepatolenticular degeneration combined with severe hypersplenism, continuous copper-driven treatment and perioperative control of bleeding tendency is an important guarantee for the success of the operation