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1 材料和方法 1.1 材料男11例,女2例,年龄14岁～61岁,肝功能A级4例,B级6例,C级3例,都有食管静脉曲张,脾脏肋下3cm～10cm,常有出血症状、体征18例次。血小板(Pt)数(21～64)×10~9/L,白细胞(WBC)计数(2.4～3.4)×10~9/L,血红蛋白(Hb)70g/L～135g/L,骨髓穿刺检查排除了血液病,且骨髓中出现相应的外周血细胞系的幼稚细胞过度增生。 1.2 方法 Aloka-SSD-256型灰阶超声仪,穿刺探头频率为3.5MHz,G7号穿刺针,50g/L鱼肝油酸钠(S.Mr),在超声引导下经皮穿刺,将针尖进到脾内确当位置后回抽无血,缓缓注入S.Mr 6mL～16mL,针退至脾包膜下,向针道内注入少量止血
1 Materials and Methods 1.1 Materials 11 males and 2 females, aged 14 to 61 years old, liver function A grade in 4 cases, B grade in 6 cases, C grade in 3 cases, have esophageal varices, splenic ribs 3cm ~ 10cm , Often bleeding symptoms, signs of 18 cases. The number of platelets (Pt) (21-64) × 10-9 / L, white blood cell count (2.4-3.4) × 10-9 / L and Hb 70g / L ~ 135g / L were excluded A hematological disease was found, and naive cell hyperplasia occurred in the corresponding peripheral blood cell line in the bone marrow. 1.2 Methods Aloka-SSD-256 grayscale ultrasound system, the frequency of the puncture probe 3.5MHz, G7 puncture needle, 50g / L sodium morrhuate (S.Mr), under ultrasound-guided percutaneous puncture, the tip into the spleen After the exact location of pumping back without blood, slowly injected S.Mr 6mL ~ 16mL, needle retreat to the spleen capsule, a small amount of bleeding into the needle tract