Abstract

Patients in the decompensated stage of cirrhosis are usually associated with hepatic decompensation and portal hypertension, splenomegaly, hypersplenism, and abnormal or significantly reduced blood counts in at least one of the three blood cell lines, mainly platelets. At present, surgical removal of the spleen is still an essential treatment for hypersplenism. The majority of patients who undergo splenectomy can effectively improve the decrease in peripheral blood platelet count. In order to provide some reference value for the diagnosis and treatment of similar clinical cases in the future, we report a case of platelet reduction in hypersplenism in cirrhosis after splenectomy, in which platelets first rose to normal and then decreased abnormally.

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