Kodikara Sarathchandra
Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka.
Am J Forensic Med Pathol. 2009 Dec;30(4):382-3. doi: 10.1097/PAF.0b013e3181c03caf.
Delayed splenic rupture after blunt trauma is rare and contributes to a significant mortality rate. As this is accompanied by a period of clinical quiescence, a close clinical vigilance is required for early diagnosis and surgical intervention. A case report on death because of delayed rupture of healthy spleen after blunt trauma is presented. The pathophysiology of delayed rupture and importance of early detection are discussed. The case presented is the first known case of death due to delayed splenic rupture in Sri Lanka.
钝性创伤后延迟性脾破裂罕见，且死亡率颇高。由于其伴有一段临床静止期，故需密切临床监测以实现早期诊断及手术干预。本文呈现一例钝性创伤后健康脾脏延迟破裂致死的病例报告。文中探讨了延迟破裂的病理生理学及早期检测的重要性。该病例是斯里兰卡首例已知的因延迟性脾破裂致死的病例。
