小儿脾疾病临床诊疗指南.docx

文档介绍：GuidelinesforSurgicalTreatmentofPediatricSpleenDiseasesIntroductionThemostfrequentconditionsrequiringspleensurgeryarehematologicalandimmunologicaldisorders,andtrauma・monsplenicprocedure,?b・1Ingeneral,thebenefitsofthelaparoscopictechniquearedecreasedpostoperativepain,ashorterdurationofpostoperativeileus,alowerpostoperativemorbidity,・DefinitionThenormaladultspleenisabout12cmlongand7cmwideandweighs100・,spleensfourtimeslargerthannormalforageareconsideredmassive・Splenomegalymaybecausedbydisordersofimmunoregulationsplenicbloodflow,diseaseswithabnormalerythrocytes,andinfiltrativeorinfectiousdiseases・Thetermhypersplenism(primaryorsecondary)appliestoanyclinicalsituationinwhichthespleenremovesexcessivequantitiesoferythrocytes,granulocytes,orplateletsfromcirculation・Criteriaforthediagnosisofhypersplenismineludesplenomegaly,splenicdestructionofoneormorecelllines,ellularityofthebonemarrowwithnormalrepresentationofthecelllinedeficientand,variably,reticulocytosis,circulatingimmatureplateletforms,,