Charleux H, Julien M, Bousquet R, Ribardière J L, Fagniez P L, Izrael V
J Chir (Paris). 1977;114(6):413-26.
In the light of their personal experience of 1,036 splenectomies, the authors review the hematological diseases which still require surgery, viz. certain hemolytic anemias, idiopathic thrombocytopenic purpura, Hodgkin's disease under certain conditions, and sometimes the splenic lesions in certain malignant blood diseases; they analyse their results. Thanks to close collaboration between hematologists and intensive care specialists, the mortality has been reduced to 1.35 p. cent and the morbidity to 3.46 p. cent which leaves 95.19 p. cent without any immediate postoperative complications. The late results depend on the initial disease process.
根据他们进行1036例脾切除术的个人经验,作者回顾了仍需手术治疗的血液系统疾病,即某些溶血性贫血、特发性血小板减少性紫癜、某些情况下的霍奇金病,以及某些恶性血液病中的脾脏病变;他们分析了手术结果。由于血液科医生和重症监护专家的密切合作,死亡率已降至1.35%,发病率降至3.46%,95.19%的患者术后无任何近期并发症。远期结果取决于初始疾病进程。