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一名血友病男孩脾破裂的晚期成功治疗

Late sucessful treatment of splenic rupture in a haemophilic boy.

作者信息

Gibson B, Wright F W, Rizza C R, Dudley N E

出版信息

Br Med J. 1976 Jan 31;1(6004):260-2. doi: 10.1136/bmj.1.6004.260.

DOI:10.1136/bmj.1.6004.260
PMID:1247808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1638497/
Abstract

The recognition of traumatic splenic rupture in an 11-year-old severely affected haemophilic boy was delayed for over five weeks. Splenectomy was carried out successfully after the demonstration of splenic rupture by an isotope spleen scan. Splenic rupture is difficult to differentiate from more simple causes of retroperitoneal haematomata in haemophiliacs when there is no massive acute peritoneal bleeding, but it may be identified with isotopic spleen scans so long as the possibility of rupture is borne in mind.

摘要

一名11岁重度血友病男孩的创伤性脾破裂被延误诊断达五周以上。在通过同位素脾脏扫描证实脾破裂后，成功实施了脾切除术。当没有大量急性腹腔内出血时，血友病患者的脾破裂很难与更简单的腹膜后血肿原因相鉴别，但只要牢记脾破裂的可能性，通过同位素脾脏扫描就可以确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/01b53da316b9/brmedj00501-0025-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/d2807c2fcd87/brmedj00501-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/dc81121c03ac/brmedj00501-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/119fd6d4991c/brmedj00501-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/01b53da316b9/brmedj00501-0025-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/d2807c2fcd87/brmedj00501-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/dc81121c03ac/brmedj00501-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/119fd6d4991c/brmedj00501-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e24/1638497/01b53da316b9/brmedj00501-0025-c.jpg

相似文献

1
Late sucessful treatment of splenic rupture in a haemophilic boy.一名血友病男孩脾破裂的晚期成功治疗
Br Med J. 1976 Jan 31;1(6004):260-2. doi: 10.1136/bmj.1.6004.260.
2
[Two-stage spleen rupture in child with hemophilia].
Khirurgiia (Mosk). 1999(3):62.
3
Hemophilic splenic rupture without thrombocytosis.
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"Delayed rupture of the spleen" or delayed diagnosis of the splenic injury?“脾脏延迟破裂”还是脾损伤的延迟诊断？
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The use of cryoprecipitate in the surgical treatment of spontaneous rupture of the spleen in a hemophilia patient.
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6
[Double-stage rupture of the spleen in a patient with hemophilia].[血友病患者脾脏双期破裂]
Klin Khir (1962). 1973 Oct;10:70-1.
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A second look at delayed splenic rupture.再探延迟性脾破裂
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本文引用的文献

1
SPONTANEOUS RUPTURE OF THE SPLEEN IN HEMOPHILIA.
Arch Intern Med. 1965 May;115:595-7. doi: 10.1001/archinte.1960.03860170077016.
2
The management of the patient with a haemostatic defect during the period of surgery.手术期间止血功能缺陷患者的管理。
Med J Aust. 1959 Jan 17;46(3):65-8. doi: 10.5694/j.1326-5377.1959.tb58730.x.
3
The use of cryoprecipitate in the surgical treatment of spontaneous rupture of the spleen in a hemophilia patient.
Surgery. 1968 Dec;64(6):1119-21.
4
Splenectomy in a hemophiliac. Diagnosis of occult rupture, preoperative evaluation, and postoperative support.血友病患者的脾切除术。隐匿性破裂的诊断、术前评估及术后支持。
Surg Clin North Am. 1970 Feb;50(1):205-11. doi: 10.1016/s0039-6109(16)39045-4.
5
Injury to the spleen.脾脏损伤。
Injury. 1971 Oct;3(2):73-84. doi: 10.1016/s0020-1383(71)80189-4.
6
Complications of hemophilic disorders affecting the renal tract.
Radiology. 1971 Mar;98(3):571-6. doi: 10.1148/98.3.571.
7
Hemophilic pseudotumor of the stomach.胃血友病性假肿瘤
Radiology. 1971 Mar;98(3):547-9. doi: 10.1148/98.3.547.
8
Fatal nontraumatic splenic rupture in hemophilia and the Kasabach-Merritt Syndrome.血友病和卡萨巴赫-梅里特综合征中的致命性非创伤性脾破裂。
South Med J. 1973 Jul;66(7):791-5. doi: 10.1097/00007611-197307000-00014.
9
Large post-traumatic splenic cyst diagnosed by radiology, isotope scintigraphy and ultrasound.通过放射学、同位素闪烁扫描术和超声诊断出的大型创伤后脾囊肿。
Br J Radiol. 1974 Aug;47(560):454-6. doi: 10.1259/0007-1285-47-560-454.