中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
1期
23-24
,共2页
脾切除术%特发性血小板减少性紫癜%儿童
脾切除術%特髮性血小闆減少性紫癜%兒童
비절제술%특발성혈소판감소성자전%인동
Spleneetomy%Idiopathic thrombocytopenic purpura%Children
目的 总结脾切除对内科治疗无效或反复复发的儿童特发性血小板减少性紫癜(ITP)的治疗效果.方法 对1996年1月至2006年12月36例儿童特发性血小板减少性紫癜行选择性脾切除术的疗效和术后早期并发症的临床资料作回顾性分析.结果 所有患儿在转入外科前均在内科接受正规治疗.32例(88.89%)患儿脾切除后效果明显,4例(11.11%)部分显效,全组无重大并发症.结论 选择性脾切除是治疗儿童特发性血小板减少性紫癜的一种安全和有效的治疗手段.
目的 總結脾切除對內科治療無效或反複複髮的兒童特髮性血小闆減少性紫癜(ITP)的治療效果.方法 對1996年1月至2006年12月36例兒童特髮性血小闆減少性紫癜行選擇性脾切除術的療效和術後早期併髮癥的臨床資料作迴顧性分析.結果 所有患兒在轉入外科前均在內科接受正規治療.32例(88.89%)患兒脾切除後效果明顯,4例(11.11%)部分顯效,全組無重大併髮癥.結論 選擇性脾切除是治療兒童特髮性血小闆減少性紫癜的一種安全和有效的治療手段.
목적 총결비절제대내과치료무효혹반복복발적인동특발성혈소판감소성자전(ITP)적치료효과.방법 대1996년1월지2006년12월36례인동특발성혈소판감소성자전행선택성비절제술적료효화술후조기병발증적림상자료작회고성분석.결과 소유환인재전입외과전균재내과접수정규치료.32례(88.89%)환인비절제후효과명현,4례(11.11%)부분현효,전조무중대병발증.결론 선택성비절제시치료인동특발성혈소판감소성자전적일충안전화유효적치료수단.
Objective To study the results of splenectomy for patients with idiopathic thrombocytopenic purpura in children,which refractory to medical therapy or with repeat recurrence of symptoms. Methods The data from 36 pediatric patients with idiopathic thrombocytopenic purpura in children who have undergone sple-nectomy from January 1996 to December 2006 was retrospectively analyzed. Results All of 36 pediatric pa-tients were referred to surgeon after initial medical management. 88.89% (n=32) of the patients had complete response. 11.11% (n=4) had a partial response. The postoperative complication rate was 8.33%. Conclusion Splenectomy is a safe and effective method for the treatment of idiopathic thrombocytopenic purpurza in chil-dren without deaths or postsplenectomy sepsis.
