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46例非何杰金氏淋巴瘤行切脾的病例中,脾肿大伴不同程度血液学异常者35例,仅有脾肿大3例,仅有血液学异常8例(有6例伴特发性血小板减少性紫癜)。在43例血液学异常患者中,38例有血小板减少(平均6万/mm~3),29例有贫血(平均血红蛋白8.9g/mm~3),17例有白细胞减少(平均2800/mm~3),13例全血细胞减少,手术中7例有危及生命的表现(血小板<1万/mm~3,消化道出血等),15例有严重症状(血小板1—s万,血红蛋白6.1—8.0g、脾压迫症),其余24人症状较轻、切脾后,血小板减少的37例中33例于术后1月内血小板升高3倍以上,仅9例在平均12月后再度出现血小板减少(其中8例死于原发病)。28例贫血者中18例术后1日内血红蛋白>11g/mm~3,4例2个月后又出现贫血,均死于原发病。
Of the 46 non-Hodgkin lymphoma cases with splenectomy, 35 cases had splenomegaly with varying degrees of hematologic abnormalities, only 3 cases with splenomegaly and only 8 cases with hematologic abnormalities (6 cases with idiopathic Thrombocytopenic purpura). Of the 43 patients with hematologic abnormalities, 38 had thrombocytopenia (average 60,000 / mm 3), 29 had anemia (mean hemoglobin 8.9g / mm 3), and 17 had leukopenia (mean 2800 / mm 3) 3), 13 cases of pancytopenia, 7 cases of life-threatening manifestations (platelets <1 million / mm ~ 3, gastrointestinal bleeding, etc.) and 15 cases of severe symptoms (platelet 1-million, hemoglobin 6.1-8.0 g, spleen oppression), the remaining 24 were mild symptoms, after splenectomy, thrombocytopenia in 37 cases of 33 cases in 1 month after the platelet increased more than 3 times, only 9 cases reappearance of platelets after an average of 12 months Reduce (of which 8 died of primary disease). Eighteen cases of anemia in 18 cases within 1 day after the hemoglobin> 11g / mm ~ 3,4 cases of anemia after another two months, all died of the primary disease.