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HARRY M. GREENWALD, M.D.

Am J Dis Child. 1935;49(2):347-352.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1916 Kaznelson¹ recommended splenectomy for the cure of essential thrombocytopenic purpura; since then many reports have appeared substantiating the excellent results obtained by him. In the last few years, however, cases in which bleeding continued after splenectomy have been reported by various observers, for example, McLean and his associates,² Kasdoba,³ Lautier, Oberling and Woringer,⁴ Bloomfield,⁵ Jones and Tocantins⁶ and Greenwald.⁷ In addition, Whipple⁸ reported a series of cases in which a high rate of mortality (87 per cent) resulted because the spleen was removed during the acute stage of the disease; in his report he strongly advised against splenectomy during the stage of active bleeding. Transfusions, too, while they undoubtedly are life-saving measures in cases in which the bleeding is marked and leads almost to exsanguination, frequently have no effect in preventing subsequent hemorrhages; this was true in one of the . . . [Full Text PDF of this Article]

Author Affiliations
BROOKLYN

From the Pediatric Service of the Israel Zion Hospital.

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