Bittler Richard D
Short Stay Unit/Endoscopy, McKenzie Willamette Medical Center, Springfield, Oregon 97477 , USA.
Gastroenterol Nurs. 2011 Sep-Oct;34(5):357-64. doi: 10.1097/SGA.0b013e318229bc7a.
Complications associated with the performance of a colonoscopy are low. Splenic tearing or trauma postcolonoscopy is a rare but serious complication. Identification of a splenic injury is difficult because of the nonspecific nature of the patient's symptoms. A meta-analysis approach was used to identify common risk factors, onset and presentation of symptoms, and procedural difficulty associated with splenic injury postcolonoscopy. A review of 10 published case studies and 1 case presented by the author were compared with published findings for patients sustaining a splenic injury following colonoscopy. Potential common signs and symptoms as well as common risks factors were identified. Nursing considerations for the identification of high-risk patients and postprocedure symptoms are outlined. Early detection of this rare complication is difficult, but having a high level of suspicion can help to identify patients at risk for sustaining a splenic injury during colonoscopy.
结肠镜检查相关的并发症发生率较低。结肠镜检查后脾脏撕裂或损伤是一种罕见但严重的并发症。由于患者症状的非特异性，脾脏损伤的识别较为困难。采用荟萃分析方法来确定与结肠镜检查后脾脏损伤相关的常见风险因素、症状的发作和表现以及操作难度。将10篇已发表的病例研究和作者呈现的1例病例与已发表的结肠镜检查后脾脏损伤患者的研究结果进行比较。确定了潜在的常见体征和症状以及常见风险因素。概述了识别高危患者和术后症状的护理注意事项。早期发现这种罕见并发症很困难，但高度怀疑有助于识别结肠镜检查期间有脾脏损伤风险的患者。
