[Perioperative management and surgical treatment of neurosurgical critical patients with thrombocytopenia].
OBJECTIVE
To study the perioperative management and surgical treatment of patients with neurosurgical critical diseases and thrombocytopenia.


METHODS
Eleven patients with the diagnosis of neurosurgical critical diseases and thrombocytopenia who received surgical treatment in Department of Neurosurgery, Peking Union Medical College Hospital from 2010 to 2015 were reviewed retrospectively. All eleven patients received platelet transfusions preoperatively. The safety and efficacy of surgical treatment were analyzed by GOS score at 6 months after operations.


RESULTS
Platelet counts of six patients who received minimally invasive surgery reached 80×10(9) /L by platelet transfusions preoperatively. Platelet counts of five patients who received Craniotomy and ventriculoperitoneal shunt reached 100×10(9) /L by platelet transfusions preoperatively. Eight patients received platelet transfusions postoperatively according to a low platelet count 24 hours after operations. Two patients died after surgery and one died after discharge. All other eight survival patients got well recovery with an average GOS score of 4.5 at six months after operations.


CONCLUSIONS
Patients with neurosurgical critical diseases and thrombocytopenia could receive surgical treatment in collaboration with relative departments.
Department of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
H
H
Wu
J J
JJ
Wei
B T
BT
Ma
W Z
WZ
Chai
W B
WB
Ma
Y N
YN
Li
X H
XH
Liu
B
B
Han
H D
HD
Zhu
J
J
Gan
J J
JJ
Liu
R Z
RZ
Wang
D016638:Critical Illness; D019468:Disease Management; D006801:Humans; D007362:Intensive Care Units; D019635:Neurosurgical Procedures; D019990:Perioperative Care; D010976:Platelet Count; D017713:Platelet Transfusion; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D013921:Thrombocytopenia / Q000628:therapy; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt