The main effects on patients are, platelet elevation and thromboembolism, subphrenic infections, and aggressive infections.
1. Platelet elevation: spleen is a very important organ to inactivate senescent cells, after splenectomy, senescent and old blood cells still exist in the blood, leading to a sharp rise in platelets, platelet elevation can lead to the formation of thrombus and embolism, so anti-platelet therapy is needed.
2. Subdiaphragmatic infection: thorough intraoperative hemostasis, avoiding damage to the pancreatic tail for pancreatic fistula, and postoperative subdiaphragmatic placement of tubes for effective drainage are important preventive measures. Such risks and possibilities will occur in the early postoperative period and need to be treated accordingly.
3. Menacing post-splenectomy infection: a particular problem in the far postoperative period. It is especially likely to occur in infants and young children. The onset of a menacing infection is insidious and may begin with mild cold symptoms. The onset is sudden and violent, with sudden chills and high fever, headache, nausea, vomiting, diarrhea, and even coma and shock. The fundamental prevention method is to avoid unnecessary splenectomy.
The spleen is the largest lymphatic organ in the body, accounting for about 25% of the total lymphatic tissue in the body, containing a large number of lymphocytes and macrophages, and its function and structure have many similarities with the lymph nodes, so the spleen is also an important immune organ. After splenectomy, there is a certain impact on the patient, and all unnecessary splenectomy should be avoided as much as possible.