脾动脉栓塞治疗急性免疫性血小板减少性紫癜相关性颅内出血

• 作 者: PuapongD. TerasakiK. LacernaM. ApplebaumH. 李丹
• 机 构: Divisions of Pediatric Surgery and Interventional Radiology Kaiser Permanente Medical Center Los An
• 出 处: 世界核心医学期刊文摘(儿科学分册)
• 发表日期: 2005年11期
• 关键词: 脾动脉栓塞 颅内出血 减压措施 神经外科治疗 实质脏器 于儿 童期 中枢神经系统 后遗症 这种

Although relatively rare, intracranial hemorrhage remains the most common cause of immune thrombocytopenic purpurarelated mortality Medeiros D. Current controversies in the management of idiopathic thrombocytopenic purpura during childhood. Pediatr Clin North Am. 1996;43:757-72 . The required decompressive treatment has the potential for substantial blood loss and must often be delayed because of resistant thrombocytopenia responsive only to splenectomy. Splenic embolization is a novel approach to this problem that can expedite definitive neurosurgical care and minimize permanent sequelae. This is the first reported case of splenic embolization in the management of a child with known immune thrombocytopenic purpura presenting with central nervous system bleeding.

Current controversies in the management of idiopathic thrombocytopenic purpura during childhood. Pediatr Clin North Am. 1996; 43: 757-72. The required decompressive treatment has the potential for substantial blood loss and must often be delayed because of resistant thrombocytopenia responsive only to splenectomy. Splenic embolization is a novel approach to this problem that can expedite definitive neurosurgical care and minimize permanent sequelae. This is the first reported case of splenic embolization in the management of a child with known immune thrombocytopenic purpura presenting with central nervous system bleeding.