[Thalassemic syndromes and abnormal hemoglobulins among surgical and trauma patients]. / Talasemichni sindromi i anomalni khemoglobini vsred khirurgichno i travmatichno bolni

Hemoglobin profile was studied in 201 surgical and traumatic patients. The data reveal a considerable incidence of thalassemic syndrome among them (3,98 per cent). The surgical and traumatic diseases did not affect significantly the hematological state (f the carriers of thalassemic gene observed. The described heterozygote of HbS is of a special interest for the surgical practice. The clinical manifestation with such localization in heterozygotic carriers is extremely rare. In this case the hematological diagnosis elucidates the pathogenesis of the aseptic necrosis of the hip joint. The eventual surgical intervention among such patients puts forward a series of problems as regards preoperation treatment, anesthesia and advisability of the surgical treatment. The necessity of intensified attention in the diagnosis of certain "ideopathic" diseases is stressed upon, in view of the incidence of hemoglobin defects and the associated with them versatile symptomatics.