[Splenectomy in adult patients with idiopathic thrombocytopenic purpura after intravenous immunoglobulin treatment].
Eight patients with idiopathic thrombocytopenic purpura (ITP) and no response to steroids therapy were prepared for splenectomy, for 5 consecutive days, with intravenous immunoglobulin (IVIG, 0.4 g/kg body weight). Increase of platelet counts and/or remission of haemorrhagic diathesis were observed in 7 patients, in one case IVIG proved ineffective. Splenectomy was performed in 7 cases and the postoperative course was uneventful. IVIG treatment has proved efficient in preparing ITP patients for splenectomy.
Nowak
T
T
Kliniki Chirurgicznej Instytutu Hematologii i Transfuzjologii, Warszawie.
Kucharski
W
W
Scharf
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000628:therapy*; D013156:Splenectomy; D016896:Treatment Outcome
D016756:Immunoglobulins, Intravenous
Splenektomia u dorosłych chorych z samoistna małopłytkowościa po przygotowaniu dozylnymi preparatami immunoglobulin.