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1
Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen.无脾或脾功能不全患者感染的预防和治疗指南
BMJ. 1996 Feb 17;312(7028):430-4. doi: 10.1136/bmj.312.7028.430.
2
Review of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen: prepared on behalf of the British Committee for Standards in Haematology by a working party of the Haemato-Oncology task force.《无脾或脾功能障碍患者感染预防和治疗指南回顾》：代表英国血液学标准委员会，由血液肿瘤学工作组的一个工作小组编写。
Br J Haematol. 2011 Nov;155(3):308-17. doi: 10.1111/j.1365-2141.2011.08843.x.
3
Update of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen.无脾或脾功能不全患者感染预防与治疗指南的更新
Clin Med (Lond). 2002 Sep-Oct;2(5):440-3. doi: 10.7861/clinmedicine.2-5-440.
4
Patient awareness of health precautions after splenectomy.脾切除术后患者对健康预防措施的认知。
Am J Infect Control. 1991 Feb;19(1):36-41. doi: 10.1016/0196-6553(91)90158-9.
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Prevention and management of overwhelming postsplenectomy infection--an update.脾切除术后暴发性感染的预防与管理——最新进展
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6
Splenic trauma and overwhelming postsplenectomy infection.脾外伤与脾切除术后暴发性感染
Br J Surg. 1987 May;74(5):343-5. doi: 10.1002/bjs.1800740504.
7
[Prevention of infections and thromboses after splenectomy or because of functional loss of the spleen].脾切除术后或因脾脏功能丧失后的感染与血栓形成的预防
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Prevention and treatment of infection in patients with an absent or hypofunctional spleen: A British Society for Haematology guideline.缺失或功能低下脾脏患者感染的预防和治疗：英国血液学学会指南。
Br J Haematol. 2024 May;204(5):1672-1686. doi: 10.1111/bjh.19361. Epub 2024 Apr 10.
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Overwhelming postsplenectomy infection still a problem.脾切除术后严重感染仍是一个问题。
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Infection associated with asplenia: risks, mechanisms, and prevention.无脾相关感染：风险、机制与预防
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Evolving treatment modalities for immune thrombocytopenia in adults.成人免疫性血小板减少症不断发展的治疗方式
J Community Hosp Intern Med Perspect. 2021 Jan 26;11(1):115-119. doi: 10.1080/20009666.2020.1843237.
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Overwhelming Post-Splenectomy Infection Syndrome: Variability in Timing With Similar Presentation.脾切除术后暴发性感染综合征：相似临床表现下的时间变异性。
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Rare Extracardiac Anomalies Presented with Right Heterotaxy Syndrome in a Newborn Baby: A Case Report.新生儿右位异构综合征伴发罕见心脏外畸形 1 例报告。
Am J Case Rep. 2020 Jun 3;21:e923341. doi: 10.12659/AJCR.923341.
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Splenectomy versus conservative management for acute sequestration crises in people with sickle cell disease.镰状细胞病患者急性脾梗死危机的脾切除术与保守治疗对比
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Vaccination coverage and mortality after splenectomy: results from an Italian single-centre study.脾切除术后的疫苗接种覆盖率与死亡率：一项意大利单中心研究的结果
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Fatal purpura fulminans and Waterhouse-Friderichsen syndrome from fulminant Streptococcus pneumoniae sepsis in an asplenic young adult.一名无脾年轻成年人因暴发性肺炎链球菌败血症导致致命性暴发性紫癜和华-佛综合征。
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Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma.经皮影像引导下活检用于非肿块形成性孤立性脾肿大及疑似恶性淋巴瘤
PLoS One. 2014 Nov 3;9(11):e111657. doi: 10.1371/journal.pone.0111657. eCollection 2014.
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Infections among long-term survivors of childhood and adolescent cancer: a report from the Childhood Cancer Survivor Study.儿童和青少年癌症长期幸存者中的感染：来自儿童癌症幸存者研究的报告。
Cancer. 2014 Aug 15;120(16):2514-21. doi: 10.1002/cncr.28763. Epub 2014 May 13.

本文引用的文献

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Splenic studies. I. Susceptibility to infection after splenectomy performed in infancy.脾脏研究。一、婴儿期脾切除术后的感染易感性。
Ann Surg. 1952 Aug;136(2):239-42. doi: 10.1097/00000658-195208000-00006.
2
Educational potential of medical audit: observations from a study of small groups setting standards.医学审计的教育潜力：对设定标准的小组研究的观察结果
Qual Health Care. 1992 Dec;1(4):256-9. doi: 10.1136/qshc.1.4.256.
3
Long term management of patients after splenectomy.脾切除术后患者的长期管理。
BMJ. 1993 Nov 27;307(6916):1372-3. doi: 10.1136/bmj.307.6916.1372.
4
Prophylaxis against late infection following splenectomy and bone marrow transplant.脾切除和骨髓移植后晚期感染的预防。
Blood Rev. 1994 Sep;8(3):179-91. doi: 10.1016/0268-960x(94)90079-w.
5
Outbreak of tuberculosis in south west London.伦敦西南部的结核病疫情。
Commun Dis Rep CDR Wkly. 1995 Jul 7;5(27):125.
6
Risk of pneumococcal septicaemia in patients with chronic lymphoproliferative malignancies.慢性淋巴细胞增殖性恶性肿瘤患者发生肺炎球菌败血症的风险。
BMJ. 1995 Jul 1;311(6996):26-7. doi: 10.1136/bmj.311.6996.26.
7
Vaccination-Associated relapse of immune thrombocytopenia.免疫性血小板减少症的疫苗接种相关复发
JAMA. 1981;245(4):369-70.
8
Long-term follow-up and booster immunization with polyvalent pneumococcal polysaccharide in patients with sickle cell anemia.镰状细胞贫血患者的长期随访及多价肺炎球菌多糖加强免疫
J Pediatr. 1984 Aug;105(2):261-3. doi: 10.1016/s0022-3476(84)80124-9.
9
Babesiosis in splenectomized adults. Review of 22 reported cases.脾切除术后成人的巴贝斯虫病。22例报告病例综述。
Am J Med. 1984 Apr;76(4):696-701. doi: 10.1016/0002-9343(84)90298-5.
10
Complications of splenectomy. Etiology, prevention, and management.脾切除术的并发症。病因、预防及处理
Surg Clin North Am. 1983 Dec;63(6):1313-30. doi: 10.1016/s0039-6109(16)43191-9.

无脾或脾功能不全患者感染的预防和治疗指南

Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen.

机构信息

British Committee for Standards in Haematology, 2 Carlton House Terrace, London SW1Y 5AF, England.

出版信息

BMJ. 1996 Feb 17;312(7028):430-4. doi: 10.1136/bmj.312.7028.430.

DOI:10.1136/bmj.312.7028.430
PMID:8601117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2350106/
Abstract

Overwhelming postsplenectomy infection should be preventable if simple precautions are taken. An ad hoc working party of the British Committee for Standards in Haematology has reviewed recommendations for patients without a spleen and drawn up a consensus. Members of the working party were selected for their personal expertise and to represent relevant professional bodies. The guidelines, which are set out below, include and extend the chief medical officer's 1994 update.

摘要

如果采取简单的预防措施，脾切除术后严重感染应该是可以预防的。英国血液学标准委员会的一个特别工作小组审查了针对无脾患者的建议，并达成了共识。工作小组成员因其个人专业知识而被挑选出来，并代表相关专业机构。以下列出的指南纳入并扩展了首席医疗官1994年的更新内容。