毛细胞白血病的急诊脾切除术

Emergency splenectomy in hairy cell leukemia.

作者信息

Coser P, Prinoth O, Fabris P, Quaini R, Gentilini I, Pianezze G

出版信息

Acta Haematol. 1985;74(2):116-7. doi: 10.1159/000206182.

DOI:10.1159/000206182

Abstract

The role of splenectomy in the treatment of hairy cell leukemia (HCL) is now well established. There are however some particular situations which indicate splenectomy as a possible emergency therapy in markedly cytopenic cases with severe antibiotic-resistant infections. The aim of the emergency splenectomy in such conditions is to temporarily increase neutrophils and to permit the improvement of the infectious disease. We describe 2 cases of HCL with severe infectious disease, successfully splenectomized.

摘要

脾切除术在毛细胞白血病（HCL）治疗中的作用现已得到充分确立。然而，在某些特殊情况下，对于有严重抗生素耐药性感染且血细胞明显减少的病例，脾切除术可作为一种可能的紧急治疗方法。在这种情况下进行紧急脾切除术的目的是暂时增加中性粒细胞数量，并使传染病病情得到改善。我们描述了2例患有严重传染病的毛细胞白血病病例，这2例患者均成功接受了脾切除术。