Omega胃旁路手术后特发性血小板减少1例报告

Masoud Sayadishahraki, A. Dehghan, M. Mahmoudieh, A. Sadeghi, Gholamreza Mohajeri, A. Bighamian
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引用次数: 0

摘要

戒烟后,预防危害健康状况的最好方法是治疗肥胖。此外,肥胖的治疗,导致减轻或治愈其他疾病。对选定的肥胖患者进行减肥手术是预防威胁健康状况的最佳选择。尽管对健康有益,但这种治疗方法——就像其他外科手术一样——可能会带来各种副作用。病例介绍:55岁女性,BMI为46.5,行腹腔镜Omega胃旁路手术。14天后因呼吸困难和肺栓塞入院。在进行的调查中,血小板计数少于25,000。在多次评估中,没有发现血小板减少症的原因。诊断为ITP的患者使用皮质类固醇;治疗完全有效。结论:血小板减少症是胃分流术中一种罕见的并发症。管理包括排除其他原因的血小板减少和药物治疗。
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Idiopathic Thrombocytopenia After Omega Gastric Bypass Surgery: A Case Report
Introduction: After cessation of smoking, the best way to prevent health-threatening conditions is to treatment of obesity. Also, obesity treatment, cause alleviation or cure of other diseases. Bariatric surgery in selected obese patients is the best option for preventing health-threatening conditions. Despite the health benefits, this method of treatment -just like other surgical procedures- may be associated with various side effects. Case Presentation: A 55-year-old female with BMI of 46.5 underwent laparoscopic Omega Gastric bypass surgery. She was admitted due to dyspnea and pulmonary embolism 14 days later. In conducted surveys, platelet count was less than 25,000. In multiple assessments, no cause found for the thrombocytopenia. Corticosteroids prescribed for her with the diagnosis of ITP; which fully responded to treatment. Conclusions: Thrombocytopenia is a rare complication of gastric bypass surgery. Managements include rule out of other causes of thrombocytopenia and medical treatment.
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