How to treat anticoagulation after splenectomy

summary

After splenectomy, our patients usually have some troubles. For example, anticoagulant therapy after surgery has always been a big problem for our patients who have undergone splenectomy, because the postoperative treatment directly affects the effect of surgery. Let's talk about anticoagulant therapy after splenectomy.

How to treat anticoagulation after splenectomy

First, complications after splenectomy. Bleeding: postoperative delayed intra-abdominal bleeding often occurs in patients with hypersplenism and poor liver function. For these patients, measures should be taken before and after operation to improve coagulation function and prevent bleeding. Subphrenic infection or abscess: secondary to subphrenic hematocele. If the body temperature rises again 3-4 days after operation, we should be on high alert.

Second: after splenectomy, if the main thrombosis of retinal artery, mesenteric vein and portal vein occurs, it will cause serious consequences, especially the thrombosis of superior mesenteric vein. Once extensive intestinal ischemic necrosis occurs, the prognosis is dangerous, and the mortality rate is 14% - 35%. Therefore, after splenectomy, we should pay close attention to the changes of symptoms and platelets, and take effective treatment measures in time to prevent and control Complications of thrombolysis.

Third: after splenectomy, anemia should be corrected in time, especially blood transfusion after bleeding, so as to avoid stimulating platelet proliferation and leading to thrombosis. If the platelet count exceeds 400000, conventional anticoagulation can be used: enteric coated aspirin 50mg-75mg, once daily, oral; low molecular dextran 500ml, once daily, intravenous drip; dipyridamole 25mg, three times daily, oral.

matters needing attention

For the anticoagulant treatment after splenectomy, we have a certain understanding through the above popular science, and also understand the harm of blood coagulation after splenectomy. Our patients should communicate with doctors in time, and seek medical treatment in time in case of abnormal situation, so as to avoid the damage caused by improper postoperative nursing.