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首页> 外文期刊>Finlay : Revista de Enfermedades no Transmisibles >Caracterización de pacientes con esplenopatía quirúrgica no traumática
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Caracterización de pacientes con esplenopatía quirúrgica no traumática

机译：非创伤性手术性脾病患者的特征

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Background: the spleen is an important organ, especially in childhood. Splenic surgery is a treatment option for several diseases. The use of conservative techniques is increasingly advocated due to the role of the spleen in immunity in pediatric patients. Objectives: to identify the characteristics of patients operated on for non-traumatic diseases of the spleen and to describe the outcome of surgical treatment. Methods: a retrospective study of all patients who underwent splenic surgery for non-traumatic reasons was conducted in the Paquito González Cueto University Pediatric Hospital of Cienfuegos from 1994 through 2011. The study variables were: age, underlying disease, type of surgery, clinical and hematological criteria that led to surgery, postoperative complications, and surgical outcomes. Descriptive statistics, frequencies, and percentages were used. Results were presented in graphs and statistical tables. Results: most patients were 5 to 9 years old. Half of all study patients underwent splenectomy for immune thrombocytopenia. The most commonly used surgical treatment was total splenectomy, and partial splenectomy in children with sickle cell anemia and β-thalassemia. The most common clinical and hematological criterion for surgery was immune thrombocytopenia (50 % of cases). Few complications were reported in the immediate postoperative period, and 81, 25 % had a satisfactory post-operative recovery. Conclusions: a total of 32 patients were operated on for non-traumatic splenic diseases, including one patient with splenoptosis or aberrant spleen, and a patient with a splenic tumor. Partial splenectomy was performed on all patients with β-thalassemia. Splenic surgery is unquestionably a treatment option for a variety of localized and systemic conditions.
机译：背景：脾脏是重要器官，尤其是在儿童时期。脾外科手术是几种疾病的治疗选择。由于脾脏在小儿患者免疫中的作用，越来越多地提倡使用保守技术。目的：确定接受手术治疗的非创伤性脾脏患者的特征并描述手术治疗的结果。方法：对1994年至2011年在西恩富戈斯的帕奎托·冈萨雷斯·奎托大学儿科医院进行的所有非创伤性脾脏手术患者进行回顾性研究。研究变量为：年龄，基础疾病，手术类型，临床和导致手术，术后并发症和手术结果的血液学标准。使用描述性统计数据，频率和百分比。结果显示在图表和统计表中。结果：大多数患者为5至9岁。所有研究患者中有一半因免疫性血小板减少症接受了脾切除术。对于镰状细胞性贫血和β地中海贫血患儿，最常用的手术治疗是全脾切除术和部分脾切除术。手术最常见的临床和血液学标准是免疫性血小板减少症（50％的病例）。术后立即发生并发症的报道很少，其中81％，25％的患者术后恢复令人满意。结论：共有32例接受了非创伤性脾疾病的手术，其中包括1例患有脾脏病变或脾脏异常的患者，以及1例患有脾脏肿瘤的患者。对所有β地中海贫血患者行脾切除术。脾外科无疑是针对各种局部和全身性疾病的治疗选择。

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