Managiment of portal hypertension complicated with hyperthyroidism
- VernacularTitle:合并甲状腺机能亢进的门静脉高压症的治疗
- Author:
Xinbao WANG
;
Zhen YANG
;
Dexu LI
;
Dapeng LI
;
Fazu QUI
;
Xiaorong DENG
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Surgery
2001;21(3):152-153
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo summarize the experience of managing portal hypertension( PHT) complicated with hyperthyroidism. Methods5 patients with hyperthyroidism complicated PHT were performed with splenectomy plus pericardial devascularization after preoperative management, and the experience of pre- and postoperative management was summarized. Results1 patient occurred postoperative thyroid crisis and was cured with tranquilizing, prenisone and sodium iodide;the other 4 went through perioperation safely. The preoperative WBC,RBC,Hb and Pt were(2.018±0.536)×109/L,(2.97±0.42)×1012/L,(87±15.6)g/L and (38.4±13.24)×109/L, respectively, which rose to (6.54±0.398)×109/L, (3.636±0.387)×1012/L, (108.6±9.633)g/L and (240.4±84.54)×109 /L, respectively after operation. WBC and platelets of all patients reached normal level postoperatively. ConclusionProper perioperative management ensures that patients with hyperthyroidism complicated PHT survive the splenectomy plus pericardial devascularization, which renders opportunity for treating hyperthyroidism with medicine or surgery.
