Intra-megalosplenic blood cell count and that in peripheral blood in patients of posthepatitic cirrhotic portal hypertension
10.3760/cma.j.issn.1007-631X.2016.01.013
- VernacularTitle:肝炎后肝硬化门静脉高压症脾内静脉血细胞计数与外周血细胞计数的比较
- Author:
Yejuan LI
;
Yunfu LYU
;
Qing'an QIU
;
Ning LIU
;
Shuya ZHAO
;
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Blood cell count;
Splenomegaly
- From:
Chinese Journal of General Surgery
2016;31(1):43-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intra-splenic blood cell count of posthepatitic cirrhotic portal hypertension,and compare it with patients' peripheral blood cell count to explore the role the spleen plays in peripheral cytopenia often seen in posthepatitic cirrhotic portal hypertension.Methods A prospective study was made on 15 cases with post hepatitis B cirrhotic portal hypertension undergoing splenectomy.Intrasplenic blood was sampled from upper pole,hilus (central pole),and lower pole of the spleen respectively for blood cell count.Results were compared with that of preoperative peripheral blood.Results There were significant statistical differences in the WBC count between splenic blood and peripheral blood,(11.20 ± 4.73) × 109/L vs.(4.06 ± 1.75) × 109/L,t =5.05,P ＜ 0.05),and in PLT count,(182.45±66.57) × 109/L vs.(63.54 ±28.40) × 109/L,t =7.285,P ＜0.05.There was no differences in the RBC count,(3.55 ± 0.94) × 1012/L vs.(3.01 ± 0.62) × 1012/L,t =1.874,P ＞ 0.05.Positive correlations were found between splenic PLT count and peripheral PLT count (r =0.610,P ＜0.05).Conclusions In posthepatitic B cirrhotic portal hypertension patients the intra-megalosplenic PLT and WBC count are significantly higher than that in peripheral blood.Megalosplenic PLT count correlates positively with peripheral PLT count.
