Pasieka J L, Preshaw R M
Division of General Surgery, University of Calgary, Alberta, Canada.
J Pediatr Surg. 1992 Apr;27(4):529-30. doi: 10.1016/0022-3468(92)90357-d.
Splenic rupture, in association with mononucleosis, can be lethal. Most reported cases of splenic rupture in patients with mononucleosis have not responded to conservative splenic preserving measures and have resulted in splenectomy. We report a case of traumatic splenic disruption in a patient with mononucleosis in whom conservative management was successful. We recommend consideration of splenic preservation measures in patients with mononucleosis and splenic disruption, if the patient is stable and meets other criteria of conservative management.
脾破裂合并单核细胞增多症可能会致命。大多数报道的单核细胞增多症患者脾破裂病例对保守性脾保留措施无反应，最终导致脾切除术。我们报告一例单核细胞增多症患者发生创伤性脾破裂，经保守治疗成功。我们建议，如果患者病情稳定且符合其他保守治疗标准，对于单核细胞增多症合并脾破裂的患者应考虑采取脾保留措施。
