Hofmeister E P
Aviation Medicine, Marine Corps Base Hawaii, Kaneohe, 96744, USA.
Mil Med. 1995 Dec;160(12):624-5.
A 64-year-old male with chronic immune-mediated thrombocytopenic purpura (cITP) underwent three-vessel coronary artery bypass grafting after preoperative treatment with steroids and intravenous immunoglobulin with no prophylactic splenectomy performed. On the morning of surgery the platelet count was 110 x 10(3)/mm3, up from an initial 18 x 10(3)/mm3. The patient tolerated the procedure well, with no intraoperative or postoperative complications. This case demonstrates that with appropriate perioperative management, patients with cITP can safely undergo major cardiac surgery.
一名64岁患有慢性免疫性血小板减少性紫癜（cITP）的男性患者，在术前接受了类固醇和静脉注射免疫球蛋白治疗，未进行预防性脾切除术，随后接受了三支冠状动脉搭桥手术。手术当天上午，血小板计数从最初的18×10³/mm³升至110×10³/mm³。患者对手术耐受良好，未出现术中或术后并发症。该病例表明，通过适当的围手术期管理，cITP患者可以安全地接受心脏大手术。
