Post Hemorrhoidectomy Bleeding Caused by Thrombocytosis Induced Coagulopathy

因血小板過高引發的痔術後出血

陳建彰(Chien-Chang Chen) ； 許自齊(Tzu-Chi Hsu)

《中華民國大腸直腸外科醫學會雜誌》 21卷2期 (2010/06) Pp. 101-105

https://doi.org/10.6312/SCRSTW.2010.21(2).09830

摘要

血小板過高可能發生血栓或出血的併發症。它可分爲原發性和繼發性兩種。原發性血小板增多症(Essential thrombocytosis)屬骨髓增生性疾病，次發性血小板增多症(Secondary thrombocytosis)則是因其他疾病所引起的，包括慢性炎症、出血、鐵質缺乏或是惡性腫瘤等因素。我們經歷一個痔瘡手術前發現有血小板過高的病患，術後發生兩次肛門出血，後來診斷爲原發性血小板過多症(Essential thrombocythemia)的病例。

關鍵字

血小板增多 ； 出血 ； 血栓

並列摘要

Thrombocytosis sometimes results in complications of thrombosis or bleeding. It is classified to two types. Primary thrombocytosis is myeloproliferative disorder (autonomous). Secondary thrombocytosis can be traced to another cause, such as inflammation, severe bleeding, iron deficiency, or malignancies. We report a patient with primary thromobocytosis with both postoperative bleeding and thrombotic complications.

並列關鍵字

Thrombocytosis ； Bleeding ； Thrombosis