动脉导管未闭封堵术后血小板减少10例临床分析Clinical analysis of ten cases with postoperative thrombocytopenia after patent ductus arteriosus occlusion
郑林琼,张伟华,鲁一兵,杨栋
摘要(Abstract):
目的总结分析PDA介入封堵术后血小板减少的规律及可能的发生原因,为临床PDA的治疗提供指导。方法选取延安医院2007年1月至2012年4月PDA封堵术后发生血小板减少的10例病例,分析血小板减少发生时间、下降规律、残余分流及相应的治疗措施等。结果血小板减少发生率约为1.55%(10/647),10例均为巨大PDA患者,10例病例术后均有不同程度残余分流,血小板减少发生于封堵术后3d内,血小板最低发生于术后4~6d,有6例输注血小板,所有病例无严重内脏出血发生。结论 PDA封堵术后血小板减少属于少见并发症,其发生原因可能与残余分流所致机械性破坏有关。
关键词(KeyWords): 动脉导管未闭;心脏导管插入术;血小板减少
基金项目(Foundation):
作者(Author): 郑林琼,张伟华,鲁一兵,杨栋
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