Эх барих, эмэгтэйчүүд, хүүхэд судлалын сэтгүүл, 2010, 2(8)

2001-2010 оны хооронд эмчлэгдсэн шалтгаан тодорхойгүй ялтсан эс цөөрөх эмгэг, цус задралын цус багадалттай өвчтөнүүдэд хийсэн дэлүү авах мэс засал эмчилгээний үр дүн

( Судалгааны өгүүлэл )

Ч.Дэлгэрцэцэг, Г.Одонтуяа, Д.Ганчимэг Д.Авирмэд, Г.Чимгээ, Б.Бямбаа

ЭХЭМҮТ

 

Абстракт

Objective of the study:  to determine outcomes in children with idiopathic thrombocytopenia and hemolythic anemia after spleenectomy

Methodology: Data was collected from records of 23 spleenectomic patient treated at Hematology and general surgery wards of MCHRC during last 10 years. The results were analysed using contingency tables, descriptive and correlation method.   

Results: We studied 12(52.2%) patients with idiopathic thrombocytopenia and 7(30.4%) patients with hemolythic anemia and 4(17.4%) patients with chronic myeloleicosis treated with spleenectomy. The average thrombocyte count in 12 patients with idiopathic thrombocytopenia before surgery was 11.7*10⁹, within first 1 hour  21.8*10⁹, 6 hours later 35.6*10⁹, first day 44.2*10⁹; second day 56.1*10⁹, third day 102*10⁹, on seventh day it was increased to 128*10⁹. The average serum bilirubin in 7 patients with hemolythic anemia was 26.3 mmol/l before surgery, reduced to 11.86 mmol/l after surgery. The erythrocytes count was 2.45*10¹²  before and 3.49*10¹² after surgery. 

Conclusion: The laboratory investigation of patients with idiopathic thrombocytopenia and hemolythic anemia before and after surgery shows positive results of spleenectomy. Among 12 patients with idiopathic thrombocytopenia 11(91.7%) had not been readmitted to hospital. All 7 patients with hemolythic anemia have reached remission.

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