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脾切除治疗原发性血小板减少性紫癜及遗传性球形红细胞增多症具有一定疗效。本文自1962年11月至1985年5月,对小儿血液病脾切除100例,鉴于患儿体弱、贫血、出血倾向、呼吸道易出血、长期激素治疗后自身防御机制降低,选用小剂量连续硬膜外麻醉,术前适量激素,对生理功能扰乱小,术中出血少可减免输血量。危重患儿仍以气管内麻醉为安全。注意无菌技术避免感染。术中测失血量及体温监测。
Splenectomy for the treatment of idiopathic thrombocytopenic purpura and hereditary spherocytosis with a certain effect. This article from November 1962 to May 1985, 100 cases of pediatric hematological disease splenectomy, given the children with weakness, anemia, bleeding tendency, respiratory tract bleeding, long-term hormone therapy to reduce their own defense mechanisms, the choice of small doses of continuous hard Extramedullary anesthesia, preoperative amount of hormones, small disturbance to physiological function, intraoperative blood loss may be reduced blood transfusion. Critically ill children are still safe for endotracheal anesthesia. Note that aseptic technique avoids infection. Intraoperative blood loss and body temperature monitoring.