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[脾脓肿:8例报告并文献复习]

[Splenic abscess: report of 8 cases and review of the literature].

作者信息

Herman P, de Oliveira e Silva A, Chaib E, D'Albuquerque L C, Pugliese V, Machado M C, Pinotti H W

机构信息

Disciplina de Cirurgia do Aparelho Digestivo, Hospital das Clíncas, Faculdade de Medicina, Universidade de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1990 Nov-Dec;45(6):268-71.

PMID:2135840
Abstract

Eight patients with splenic abscess are reported. Etiological factors were sepsis, mainly due to endocarditis. Diagnosis was made by ultrasonography and computed tomography scans. Splenectomy was performed in four cases, transcutaneous drainage in three and abscess puncture in one case. Mortality was 12.5% (1/8). Since the introduction of US and CT scans early diagnosis and treatment was possible by which the mortality decreased.

摘要

报告了8例脾脓肿患者。病因主要为败血症,主要由心内膜炎引起。通过超声检查和计算机断层扫描进行诊断。4例行脾切除术,3例行经皮引流,1例行脓肿穿刺。死亡率为12.5%(1/8)。自从引入超声和CT扫描后,早期诊断和治疗成为可能,死亡率因此降低。

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