脾栓塞治疗原发性免疫性血小板减少症合并颅内出血2例报告。

IF 0.9 4区医学 Q4 HEMATOLOGY

Journal of Pediatric Hematology/Oncology Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI:10.1097/MPH.0000000000003029

Olivier Cusson, Mira Liebman, Robert J Klaassen, Brianna Mckelvie

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引用次数: 0

摘要

本病例报告描述了2例儿童免疫性血小板减少症（ITP）并发颅内出血的处理。病例1涉及一名16岁的患者，他被发现有急性脑出血。部分脾栓塞术改善了血小板计数和临床稳定性。病例2详细介绍了一名8岁儿童，表现为额部大血肿，临床和放射学表现为疝出。在完成脾栓塞后，他的血小板水平上升到足以进行成功的颅骨切除术。这些病例强调了脾栓塞作为儿科ITP伴危及生命的出血的创新干预措施的潜在作用。

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Splenic Embolization for Primary Immune Thrombocytopenia Complicated With Intracranial Hemorrhage-Case Report of 2 Patients.

This case report describes the management of 2 pediatric patients with immune thrombocytopenia (ITP) complicated by intracranial hemorrhage. Case 1 involves a 16-year-old who was found to have an acute intracerebral bleed. Partial splenic embolization was performed, which led to improved platelet count and clinical stability. Case 2 details an 8-year-old presenting with a large frontal hematoma with clinical and radiologic signs of herniation. Following complete splenic embolization, his platelet levels rose sufficiently to undergo a successful craniectomy. These cases emphasize the potential role of splenic embolization as an innovative intervention in cases of pediatric ITP with life-threatening bleeding.

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来源期刊

Journal of Pediatric Hematology/Oncology 医学-小儿科

CiteScore

1.90

自引率

8.30%

发文量

415

审稿时长

2.5 months

期刊介绍： Journal of Pediatric Hematology/Oncology (JPHO) reports on major advances in the diagnosis and treatment of cancer and blood diseases in children. The journal publishes original research, commentaries, historical insights, and clinical and laboratory observations.