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目的:探讨外伤性脾破裂行脾切除术后血小板计数的变化及处理措施.方法:外伤性脾破裂132例,脾切除术前查血小板,术后每2日连续查血小板,持续2~6周,术后血小板上升至450~500×109/L者,使用抗凝药和抗血小板药物,单独或联合应用直至血小板降至400×109/L以下停药.结果:所有病例术后均有异常的血小板计数升高,大多数在药物处理后2~6周降至400×109/L以下.无1例血栓形成或死亡.结论:外伤性脾切除患者均会出现不同程度血小板升高,血小板计数和血凝四项应作为常规监测指标,及时正确的抗凝治疗可避免继发血小板增多而引起血栓形成等并发症.“,”Objective: To investigate the traumatic splenic rupture after splenectomy due to changes of blood platelet counts and their treatment measures. Methods: 116 cases of traumatic rupture of spleen splenectomy before checking, platelet, after every 2 days continuous check of platelet, lasted from 2 to 6 weeks, postoperative platelet rises to 450 ~500×109/L, the use of anticoagulant and antiplatelet agents, used alone or in combination until the platelet to 400 ×109/ L folowing drug withdrawal. Results: al cases of postoperative abnormalities with elevated platelet counts, most in the drug treatment after 2~ 6 weeks to 400 ×109/L below. 1 cases of thrombosis or death. Conclusion: traumatic splenectomy patients wil appear in varying degrees higher platelet count, platelet count and blood coagulation of four should be used as a routine monitoring index, timely and correct anticoagulation treatment can avoid secondary thrombocytosis caused by thrombosis.