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目的总结特发性嗜酸性粒细胞增多症(IHES)累及周围血管的围手术期处理及抗凝治疗经验。方法回顾性分析3例IHES患者的临床特点及诊治体会。结果本组共3例,1例为下肢深静脉血栓形成,2例为周围动脉阻塞性病变。针对不同的受累血管,分别给予溶栓、支架植入、取栓等治疗,续以抗凝治疗,均取得了良好的治疗效果。结论IHES极少见,累及周围血管的更少。当其累及周围血管时,需根据具体受累血管和病史来制定治疗方案。同时,控制原发疾病和抗凝治疗是必需的。
Objective To summarize the experience of perioperative management and anticoagulation therapy of idiopathic eosinophilia (IHES) involving peripheral blood vessels. Methods Retrospective analysis of 3 cases of IHES patients with clinical features and diagnosis and treatment experience. Results The group of 3 patients, 1 case of deep vein thrombosis, 2 cases of peripheral arterial occlusive disease. For different affected vessels, were given thrombolysis, stent implantation, thrombectomy and other treatment, continued to anticoagulant therapy, have achieved good therapeutic effect. Conclusions IHES is rare and involves less peripheral blood vessels. When it involves the surrounding blood vessels, depending on the specific vascular involvement and history to develop treatment options. At the same time, the control of primary disease and anticoagulant therapy is necessary.