Korolev B A, Iashanin Iu V, Makarov N A
Vestn Khir Im I I Grek. 1975 Apr;114(4):100-2.
Fifty eight small and elder children were operated upon for idiopathic thrombocytopenic purpura (39), hemolytic affections (17), and hemopoietic hypoplasia (2). At the height of a hemorrhagic crisis surgery was performed in 13 patients. Among 17 children with hematolytic processes in 2 cases autoimmune Fischer-Evans syndrome was observed. An intensive transfusion therapy and aministration of corticosteroids contributed to diminishing of the operative risk. No lethal issues were noted. Late results of splenectomies are described.
58名小儿及年长儿童因特发性血小板减少性紫癜(39例)、溶血性疾病(17例)和造血功能减退(2例)接受手术。13例患者在出血危机高峰期接受手术。17例患有溶血性疾病的儿童中,观察到2例自身免疫性费舍尔 - 埃文斯综合征。强化输血治疗和使用皮质类固醇有助于降低手术风险。未发现致命问题。描述了脾切除术的远期结果。