全文介绍几种常见血液病共76例的脾切除治疗经验。认为只要术前适当纠正贫血、出血,改善周围血细胞,注意手术操作尤其是创面渗血,手术安全性较大,全组无1例手术死亡。然血液病病因复杂,疗效悬殊,以自身免疫性溶血性贫血、原发性血小板减少性紫癜较为理想。掌握手术指征尚是难题。副脾部位常有变异,应寻找切除,否则影响疗效。血小板增多宜重视,但不一定都发生血栓。 The article describes several common hematological diseases in 76 cases of splenectomy treatment experience. That as long as proper preoperative correction of anemia, bleeding, improve peripheral blood cells, pay attention to surgical procedures, especially the wound bleeding, surgical safety, no one in the whole group died of surgery. However, the etiology of blood disease is complicated, poor efficacy, with autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura is more ideal. To grasp the surgical indications is still a problem. Deputy spleen often mutated, should be looking for resection, or affect the efficacy. Thrombocytosis should pay attention, but not necessarily all thrombosis.