Juvara I, Dragomirescu C, Prişcu A
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Jul-Aug;24(4):241-8.
The present study is an analysis of complications developing after a total of 200 splenectomies carried out for various indications: primary hypersplenism (83), secondary hypersplenism following portal hypertension (72), diseases of the hemopoietic system (24), parasitic and infectious splenomegalies (13), rupture of the spleen or of splenic artery aneurisma (8). A number of 68 patients (34%) had a total of 73 complications following surgery. Of these 60 have recovered (30%) while 8 (representing 4% of the total), died. A total of 22 local or general septic complications were noted, as well as 20 complications generated by disturbances of the balance of fluids and/or of the coagulation system, 19 pleuro-pulmonary complications, 6 complications that were not specific for splenectomy, 5 pancreatic complications and 5 cases of hepatic failure.
本研究分析了因各种适应症进行的200例脾切除术后出现的并发症：原发性脾功能亢进（83例）、门静脉高压继发脾功能亢进（72例）、造血系统疾病（24例）、寄生虫和感染性脾肿大（13例）、脾破裂或脾动脉瘤破裂（8例）。68例患者（34%）术后共出现73种并发症。其中60例已康复（30%），8例（占总数的4%）死亡。共记录到22例局部或全身感染性并发症，以及20例由液体平衡和/或凝血系统紊乱引起的并发症、19例胸膜肺部并发症、6例非脾切除术特异性并发症、5例胰腺并发症和5例肝衰竭病例。
