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传染性单核细胞增多症中的自发性脾破裂

Spontaneous splenic rupture in infectious mononucleosis.

作者信息

Khoo Seng Guan, Ullah Ihsan, Manning Kevin P, Fenton John E

机构信息

Department of Otolaryngology-Head and Neck Surgery, Mid-Western Regional Hospital and the National Institute of Health Sciences, Limerick, Ireland.

出版信息

Ear Nose Throat J. 2007 May;86(5):300-1.

Abstract

Abdominal complaints in patients with infectious mononucleosis should alert the surgeon to the potential, and possibly fatal, risk of splenic rupture. Radiologic evaluation by ultrasonography and computed tomography is indicated for appropriate management. We describe a case in which a diagnosis of splenic rupture occurring spontaneously on a background of infectious mononucleosis was made as a result of a high index of suspicion. The patient was treated conservatively.

摘要

传染性单核细胞增多症患者出现腹部不适时,外科医生应警惕脾破裂的潜在风险,这种风险可能是致命的。为了进行适当的处理,需要通过超声和计算机断层扫描进行放射学评估。我们描述了一例因高度怀疑而诊断为在传染性单核细胞增多症背景下自发性脾破裂的病例。该患者接受了保守治疗。

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