Abstract
Thrombopaenia and a haemorrhagic syndrome occurring on the eighth postoperative day were probably related to a post-transfusion purpura, confirmed by the decovery of antiplatelet antibodies not belonging to the PLA1 antigen system. The stabilization of this haemorrhage and a full recovery were obtained by giving high doses of intravenous human gammaglobulins. Blood replacement only rarely induces postoperative immunoallergologic thrombopaenia; heparin is the best known causative agent. It is concluded that platelets should never be given so long as the responsible agent is not formally identified.
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