| 脾切除治疗儿童特发性血小板减少性紫癜 |
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| 引用本文： | 汪健,孙庆林,顾志诚,张锡庆,朱锦祥. 脾切除治疗儿童特发性血小板减少性紫癜[J]. 肝胆外科杂志, 2001, 9(4): 262-263 |
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| 作者姓名： | 汪健 孙庆林 顾志诚 张锡庆 朱锦祥 |
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| 作者单位： | 苏州大学附属儿童医院外科 |
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| 摘 要： | 目的 评估脾切除术治疗儿童特发性血小板减少性紫癜（ITP）的安全性和有效性。方法 回顾分析5年37例ITP患儿行选择性脾切除术的疗效术后早期并发症。结果 所有患儿在转入外科前均在内科接受正规治疗。32例（86.6%)患儿脾切除后效果显著，5例（13.4%)部分显效，术后并发症有3例，其中1例为严重感染。结论 选择性脾切除术是儿童ITP一种安全和有效的治疗手段。
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| 关 键 词： | 脾切除术 特发性血小板减少性紫癜 儿童 治疗 |
| 文章编号： | 1006-4761(2001)04-0262-02 |
| 修稿时间： | 2001-07-05 |
SPLENECTOMY FOR IDIOPATHIC THROMBOCYTOPENIC PURPURA IN CHILDREN |
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| Wang Jian,Sun Qinglin,Gu Zhicheng,et al.. SPLENECTOMY FOR IDIOPATHIC THROMBOCYTOPENIC PURPURA IN CHILDREN[J]. Journal of Hepatobiliary Surgery, 2001, 9(4): 262-263 |
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| Authors: | Wang Jian Sun Qinglin Gu Zhicheng et al. |
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| Affiliation: | Wang Jian,Sun Qinglin,Gu Zhicheng,et al. Department of Pediatric Surgery,Children's Hospital.Medical College,Sochow University,Surgery 215003 |
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| Abstract: | Objective To evaluate the splenectomy for idiopathic thrombocytopenic purpura in children.Methods The data from 37 pediatric patients with idiopathic thrombocytopenic purpura who have undergone splenectomy during 5 years was retrospective reviewed.Results All the patients were referred to surgeon after initial medical management.Eighty-six percent of the patients had complete response.Thirteen percent had a partial response with platelet counts>50,000.The postoperative complication rate was 8.1%.Conclusion Splenectomy is a safe and effective method for the treatment of idiopathic thrombocytopenic purpura in children without deaths or postsplenectomy sepsis. |
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| Keywords: | Splenectomy Idiopathic thrombocytopenic purpura Children |
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