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作者自1939年来对19例再生障碍性貧血的患者,施行脾截除术的治疗,其中10例获得良好的結果;另6例因术后观察时間不长,疗效尚难肯定;余3例(1942年前手术)术后不久死亡。結果良好的10例中,1例在后来死于胃溃瘍,1例死于肺結核,其余8例生存8月至15年之久,所有患者在术前均表現重度貧血,白血球与血小板数减少,4例骨髓象呈再生障碍型,6例为再生不良型。 茲将脾截除后所表現的作用,分述如下:
In 1939, 19 patients with aplastic anemia were treated with splenectomy. Of the 10 cases, good results were obtained. The other 6 cases were not observed for a long time after operation. The remaining 3 cases (Surgery before 1942) died shortly after surgery. One of 10 patients died of gastric ulcer, one died of pulmonary tuberculosis, and the other 8 patients survived from August to 15 years. All patients showed severe anemia, white blood cells and platelets decreased preoperatively, 4 cases of bone marrow was aplastic, 6 cases of poorly regenerated. The role of the spleen after the cut off, are described as follows: