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脾脏切除对小儿某些疾病目前是一种有效治疗方法。但切脾后,免疫功能降低,感染率和死亡率高,已为外科重视。笔者1982年下半年在广西医学院附院无选择地对9例小儿脾切除进行了术前后免疫球蛋白IgG、IgA、IgM变化观察,并短期随访,结果报告如下。临床资料9例中,入院时血红蛋白<3g%5例,输血后,术前血红蛋白达5.6g%,红细胞238万,淋巴细胞2,630,血小板10.9万;术后第2天血红蛋白平均7.5g%,出院时血红蛋白8g%,红细胞321万,白细胞12,112,淋巴细胞3,633,血小板15.2万。术前后免疫球蛋白测定结果如附表。术前后IgG、
Spleen resection of some diseases in children is currently an effective treatment. However, after splenectomy, immune function decreased, infection and mortality rates have been surgical attention. In the second half of 1982, Guangxi Medical College Affiliated Hospital had no choice but to observe the changes of immunoglobulin IgG, IgA and IgM before and after the splenectomy in 9 cases in the second half of 1982. The results were reported as follows. Clinical data 9 cases, admission to hemoglobin <3g% 5 cases, after transfusion, preoperative hemoglobin up 5.6g%, red blood cells 2380000, lymphocytes 2,630, platelets 109000; the second day after hemoglobin average 7.5g%, discharged 8g% of hemoglobin, 3.21 million erythrocytes, 12,112 leukocytes, 3,633 lymphocytes and 152,000 platelets. Preoperative and postoperative immunoglobulin determination results as Schedule. Preoperative and postoperative IgG,