Vogt B P
Langenbecks Arch Chir. 1986;369:383-6. doi: 10.1007/BF01274395.
For decades the spleen was not contemplated a vital organ and was removed at the smallest laceration. Recently, it has become clear that patients who have undergone splenectomy at any age have an increased risk of overwhelming bacterial infections and septicemia. Removing the spleen is now thought to be catastrophic by many. An injured spleen should be preserved at any cost, with glue, suture or by partial resection. Which is true? Organ preserving therapy should be considered in each case. This is rather difficult to do. The experience and ability of the respective surgeon are important factors in this management. However, the patient should never be endangered by exsanguinating hemorrhage while it is tried to preserve the organ.
几十年来，脾脏一直未被视为重要器官，哪怕有最轻微的撕裂伤也会将其切除。最近，情况变得明朗起来，任何年龄段接受过脾切除术的患者发生暴发性细菌感染和败血症的风险都会增加。现在许多人认为切除脾脏是灾难性的。受伤的脾脏无论如何都应予以保留，可使用胶水、缝合或部分切除术。哪种做法正确呢？每种情况都应考虑器官保留疗法。但这相当困难。主刀医生的经验和能力是这种治疗中的重要因素。然而，在尝试保留器官时，绝不能让患者因大出血而危及生命。
