肝硬化8年 他的脾脏大如脸盆 8 years of his liver cirrhosis spleen as big as a washbasin

医生在肚脐打孔，用了两个小时将脾脏碎裂后取出 The doctor in drilling navel，In two hours after fracturing spleen removed

　　漱口、刷牙时会牙龈流血不止；别人稍微用力碰一下，身上就会青紫一片。50岁的赵华(化名)觉得自己最近身体很差。来到省医检查，医生很严肃地告诉他，“再晚来一步，你就可能会全身出血。”他的脾脏受肝硬化影响，已经变得和脸盆一样大，严重破坏了他的身体机能。

gargle、Brush my teeth, bleeding gums；A little force others to touch，You will be a bleeding。50 years old ZhaoHua(aliases)Feel recently in poor health。To save the medical examination，The doctor was very serious to tell him，“Later to step，You may be the whole body bleeding。”His spleen influence by the liver cirrhosis，Has become and wash basin，Badly damaged his body function。

　肝硬化8年，脾脏肿大像脸盆 Cirrhosis eight years，The spleen enlargement like wash basin

　　赵华患乙肝肝硬化8年，一个月前，他身体老是不明原因出血，肚子也总是像“吃撑”了一样鼓，于是来到省医肝胆外科就诊。

ZhaoHua with hepatitis b liver cirrhosis in 8 years，A month ago，He's always unexplained bleeding，Belly also always like“Eat hold”As the drum，He came to the provincial medical doctor and surgery。

　　入院后，他的血小板数值仅有2万左右，而正常人的血小板值是10万至30万。再检查CT，发现脾脏巨大，已经接近盆腔。“脾肿大，凝血功能就会受到严重影响。”该科副主任范伟介绍，此时患者已经到达危急的临界点，如果再晚来一步，就很有可能出现全身、消化道出血的恶劣后果。

After admission，His platelet numerical only 20000 or so，And the normal platelet value is 100000 to 300000。Check CT，Found spleen huge，Pelvic cavity has been close to。“splenomegaly，Blood clotting will have been affected。”The FanWei, deputy director of the introduction，The patient have reached critical point，If again late to step，Will likely whole body、Gastrointestinal bleeding bad consequences。

　　范伟决定，为患者切除“现在只能干坏事”的脾脏。经过周密的手术计划，上周由他主刀，实施了腹腔镜下巨脾切除术。包括肚脐在内，一共打了4孔，腹腔镜从肚脐进入腹腔。借助腹腔镜，范伟看到，患者的脾脏受长期肝硬化的影响，已经肿大得像个脸盆一样，接近盆腔。而正常人的脾脏，只有成年人拳头大小。

FanWei decided to，Resection for patients“Now only doing bad things”spleen。After careful operation plan，ZhuDao last week by him，Implement the laparoscopic resection of the spleen。Including navel,，Played four holes in，Laparoscopic from navel into the abdominal cavity。With laparoscopic，FanWei see，The spleen in patients with liver cirrhosis by long-term effects，Have swollen like a washbasin，Close to the pelvic。And the normal spleen，Only adults fist size。

　　范伟冷静地在接近脾门5cm左右首先结扎脾动脉，使脾脏稍变小，再巧妙地用腔镜切割闭合器解剖巨大脾脏，并“关闭”了脾门的动脉和静脉，让血液暂时不能流通。

FanWei calm in the door close to 5 cm or so first ligation splenic artery，Make a little smaller spleen，Then cleverly put cavity mirrors the anatomical huge closed cutting spleen，and“closed”The door of the arteries and veins，Let blood temporarily out of circulation。

手术后5天，他就出院了 5 days after surgery，He was released

　　“手术中，我们最担心的就是大出血，因为脾脏里包的全部都是血，手术刀差之毫厘就可能引起‘血崩’，届时必须马上开腔补救。”范伟介绍。还好，经控制，患者术中出血很少。

“surgery，We worry about most is the massive hemorrhage，Because all of the bag in the spleen is blood，A scalpel could cause‘womb’，When must be immediately said a remedy。”FanWei introduced。Also good，The control，Intraoperatie bleeding in patients with very little。

　　巨大脾脏有50×25×15cm大小，范伟花费2个多小时，小心翼翼地将脾脏碎裂成小块，再一一地用腔镜取物袋取出。

Huge splenic have 50 × 25 by 15 cm in size，FanWei spent more than two hours，Carefully spleen cracked into small pieces，One again with cavity mirrors take things bag out。

　　整台手术费时3个多小时，术后病人恢复很快，五天就出院了。

The whole machine operation time consuming more than three hours，The patient recovered quickly，Five days was released from the hospital。

　　据介绍，脾脏在人体内的主要功能是过滤和储存血液。赵华的脾脏因为受肝硬化影响，造血功能受严重影响，已经没有太多作用，如果不及时切除会引起全身及消化道出血。如今切除后，对患者的身体影响不算太大。

According to introducing，The spleen in the human body's main function is to filter and stored blood。ZhaoHua because of the spleen by liver cirrhosis influence，Hematopoiesis function serious influence，Have no too much effect，If not removed in time can cause the whole body and gastrointestinal bleeding。Now after resection，The body of a patient to influence not too big。

　　范伟介绍，这是我省首例腹腔镜下巨脾切除术。(贵州商报 孙纯蓉 记者 刘丹)

FanWei introduced，This is our province's first laparoscopic resection of the spleen。(Guizhou business newspaper reporters SunChunRong separately)