[Splenectomy in hereditary hemolytic anemia: 82 Tunisian cases]
Tunisie Medicale [La]. 2009; 87 (5): 323-327
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| ID: emr-134876
ABSTRACT
Splenectomy is frequently advised in hereditary hemolytic anemia.Severe complications could occur after splenectomy. To provide the indication and benefit of splenectomy clinical and biological patterns were performed in a retrospective study of 82 patients 17 homozygous beta thalassemia, 17 thalassemia intermedia, 33 heterozygote HbS I beta thalassemia and 15 hereditary spherocytosis. Splenectomy was performed for Hypertransfusion in homozygous thalassemia, hereditary spherocytosis; hypersplenism in Thalassemia intermedia and splenic sequestration in heterozygote HbS/beta thalassemia.The benefit of splenectomy was proved in hereditary spherocytosis [100%], heterozygote HbS/beta thalassemia [90%] and thalassemia intermedia [75%];nevertheless in homozygous beta thalassemia.Post splenectomical complication are often thrombocytosis, thrombosis and infections. Splenectomy should be performed in hereditary hemolytic anemia to reduce and avoid transfusion
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Indice:
Méditerranée orientale
Sujet Principal:
Splénectomie
/
Transfusion sanguine
/
Études rétrospectives
/
Anémie hémolytique congénitale
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Français
Texte intégral:
Tunisie Med.
Année:
2009
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