What Is the Treatment for Pancytopenia?

Pancytopenia

Pancytopenia

Names of pancytopenia diseases

Pancytopenia

Pancytopenia disease alias

Aplastic anemia and aplastic anemia (except for immune-related pancytopenia)

Classification of pancytopenia diseases

General Surgical Hematology

Description of pancytopenia disease

Pancytopenia, also called aplastic anemia (aplastic anemia), is a type of pancytopenia syndrome caused by bone marrow hematopoietic failure.

Signs and symptoms of pancytopenia

Liver, splenomegaly, ascites, jaundice.

Treatment options for pancytopenia

Splenectomy improves the infection, lower extremity ulcers, and granulocytopenia, but has no effect on arthritis.

Preoperative preparation:

1. For patients with portal hypertension, liver function should be improved and bleeding tendency should be corrected before surgery.

2. For some severe anemia, splenectomy should be performed after repeated blood transfusions.

3. For long-term use of hormones, antibiotics should be used prophylactically.

4. Preparing for general surgery before abdominal surgery.

Anesthesia requirements:

Endotracheal anesthesia.

Points to note during surgery:

1. Surgery may take an L-shaped incision under the left costal margin or midline of the upper abdomen.

2. The spleen artery should be ligated before incision.

3. After splenectomy, a drainage tube should be placed in the spleen fossa.

4. Patients with hematological diseases must remove the paraspleen together.

5. Be careful not to damage the tail of the pancreas when removing the spleen to avoid pancreatic fistula after operation.

Postoperative management:

1. Follow the general abdominal surgery.

2. Drainage tube is generally removed 24 to 48 hours after surgery.

3. Check the white blood cells and platelets daily after the operation. When platelets exceed (0.8 1) × 1012 / L after operation, anticoagulation therapy should be performed.