Question
What is the treatment approach for a patient with liver fibrosis who has splenic hypersplenism and a platelet count of 90,000/cubic millimeters? How long does it take for the treatment to take effect? Are there effective treatment options available?
Answer
If the platelet count reaches 90,000/cubic millimeters and there are no other complications, it is recommended to observe and maintain adequate rest, avoiding alcohol consumption. If accompanied by anemia, very low platelet counts, or other symptoms of portal hypertension, spleen removal surgery may be considered. Liver cirrhosis can lead to portal hypertension, splenic hypersplenism, and decreased platelets. Portal hypertension can also cause symptoms such as ascites and upper gastrointestinal bleeding. Currently, liver cirrhosis is relatively rare, unless it is due to chronic hepatitis or schistosomiasis in older individuals from early life.