Al-Hajjar Nadim, Graur Florin, Hassan Aboul B, Molnár Geza
3rd Surgical Clinic, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Rom J Gastroenterol. 2002 Mar;11(1):57-9.
Splenic abscesses are rare entities (autopsy incidence between 0.14-0.7%). The most frequent etiology is the septic emboli seeding from bacterial endocarditis (about 20% of cases) or other septic foci (typhoid fever, malaria, urinary tract infections, osteomielitis, otitis). The treatment of splenic abscesses was until recently splenectomy with antibiotherapy. The actual trends are more conservative (mini invasive or non-invasive) because the immunologic role of the spleen has been better understood over the last year
脾脓肿是罕见病症(尸检发病率在0.14%-0.7%之间)。最常见的病因是细菌性心内膜炎(约占病例的20%)或其他感染灶(伤寒、疟疾、尿路感染、骨髓炎、中耳炎)的脓毒性栓子播散。直到最近,脾脓肿的治疗方法仍是脾切除术加抗生素治疗。由于过去几年对脾脏免疫作用有了更好的了解,目前的趋势更为保守(微创或非侵入性)