小儿脾切除84例的病因及随访

Causes and Follow-up of the Splenectomy in Children: A Report of 84 Cases

对小儿脾切除８４例中６７例进行了随访，其中遗传性球形红细胞增多症（ＨＳ）、Ｂａｎｔｉ综合征患儿术后生长发育、营养、血液生化检查及免疫学检查正常或接近正常。脾破裂患儿术后半年ＩｇＡ、ＩｇＧ、及ＩｇＭ有代偿性增高。全组患儿淋巴细胞转化率均略低于正常对照组，普通感冒发生率较对照组高９．７％，术后均未出现暴发性感染者。

Eighty-four children with various diseases were treated by splenectomy,67 of them were followed up and analysized. General development, nutrition, and laboratory and immunology examination were all normal or nearly normal after splenectomy for hereditary spherocytosis, Banti's syndrome and others. At the 6th postoperative month, the IgA, IgG and IgM in the blood of children after splenectomy were higher than that of control group.The lymphocyte transformation rate in all children after splenecyomy was slightly lower than that of control group. The morbidity of common cold in children after splenectomy was 9.7%higher than that of control group.None of them had OPSI.