[非创伤性脾破裂]
[Non-traumatic rupture of the spleen].
作者信息
Kerckhoffs Monika C, Hoskam Jan A M, ten Tije Albert J
机构信息
Tergooiziekenhuizen, locatie Blaricum, afd. Interne Geneeskunde, Blaricum.
出版信息
Ned Tijdschr Geneeskd. 2011;155:A2935.
BACKGROUND
A non-traumatic rupture of the spleen is a rare, serious condition with a high mortality rate. This sort of rupture can occur in a healthy patient or in patients with an underlying disease such as an infection or a haematological disorder.
CASE DESCRIPTION
Here we describe a 52-year-old man who had Legionella pneumonia and suffered a spontaneous rupture of the spleen. He had to undergo a splenectomy following an unsuccessful embolisation of the lienal artery. He recovered. In the second patient, a 73-year-old man with monoclonal gammopathy, rupture of the spleen was caused by amyloidosis of the spleen.
CONCLUSION
Rupture of the spleen can cause life threatening haemorrhage, so early recognition is important.
背景
非创伤性脾破裂是一种罕见的严重病症，死亡率很高。这种破裂可发生在健康患者或患有潜在疾病（如感染或血液系统疾病）的患者身上。
病例描述
在此，我们描述一名52岁男性，他患有军团菌肺炎并发生了自发性脾破裂。在脾动脉栓塞术失败后，他不得不接受脾切除术。他康复了。在第二例患者中，一名73岁患有单克隆丙种球蛋白病的男性，脾破裂是由脾淀粉样变性引起的。
结论
脾破裂可导致危及生命的出血，因此早期识别很重要。
Zotero 插件