Neethirajan Soma Ganesh Raja, Ramesh Aishwarya, Parameswari Aruna
Department of Anaesthesia and Pain Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Turk J Anaesthesiol Reanim. 2021 Feb;49(1):67-69. doi: 10.5152/TJAR.2020.90008. Epub 2020 May 5.
Routine use of the autoanalyzer has helped uncover the increasing incidence of thrombocytopenia. Disorders associated with macrothrombocytes with thrombocytopenia necessitate a preoperative evaluation to assess the bleeding tendencies and the need for transfusion of blood products. Harris platelet syndrome is one such disorder where macrothrombocytes with thrombocytopenia are associated with no congenital abnormalities and low risk of bleeding intraoperatively. There are cases where Harris platelet syndrome has been treated with steroids or splenectomy, which is unwarranted. We report successful management of a patient with Harris platelet syndrome who underwent transurethral resection of the prostate under spinal anaesthesia with no complications.
自动分析仪的常规使用有助于发现血小板减少症发病率的上升。伴有血小板减少症的大血小板相关疾病需要进行术前评估，以评估出血倾向和输血制品的需求。哈里斯血小板综合征就是这样一种疾病，其中伴有血小板减少症的大血小板与无先天性异常及术中低出血风险相关。有一些哈里斯血小板综合征病例用类固醇或脾切除术进行了治疗，这是不必要的。我们报告了一名哈里斯血小板综合征患者在脊髓麻醉下接受经尿道前列腺切除术并成功管理且无并发症的病例。
