The causes and the management of postsplenectomy fever in portal hypertensive patients
- VernacularTitle:门静脉高压症患者脾切除术后持续性发热原因的探讨及处理
- Author:
Maochun WANG
;
Shu LI
;
Jiye ZHU
- Publication Type:Journal Article
- Keywords:
Hypertension, portal;
Splenectomy;
Fever
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the causes and management of postsplenectomy continuous fever in portal hypertensive patients. MethodThe clinical data of 329 portal hypertension patients with liver cirrhosis undergoing splenectomy from 1992 to 2001 were reviewed. Among those, 72 patients suffered from a fever higher than 38.5℃ for more than 2 weeks postoperatively. ResultThe most common cause was portal or splenic vein thrombosis and hematocele or hydrops and infection in splenic recess. Portal or splenic vein thrombosis was related to the surgical modality adopted and liver function. ConclusionPortal system thrombosis and hematocele, hydrops, or infection in the splenic recess were among the most common causes leading to postoperative long-term fever in these patients. Active anticoagulant use, effective drainage, antibiotic therapy and judicious application of surgical modality will help to reduce the rate of postoperative fever.