Zhang B, Lewis S M
Department of Haematology, Royal Postgraduate Medical School, London.
Clin Lab Haematol. 1989;11(1):7-10. doi: 10.1111/j.1365-2257.1989.tb00168.x.
Clinical palpation of the spleen was assessed by reference to a radionuclide scan method for measuring spleen volume in vivo from V = 9.88A - 534, where V = volume (cm3) and A = posterior scan area (cm2) (Zhang & Lewis 1987). The position of the spleen tip in relation to the costal margin correlated well with clinical palpability when the spleen was clearly enlarged, but when the spleen tip was just below the costal margin it was not always palpable. In some cases a normal-sized spleen was palpable, whereas a non-palpable spleen was not always normal sized. As the scanning method gives an accurate measurement of spleen size it is especially useful in lesser degrees of enlargement when reliable information on the splenomegaly may help to elucidate a diagnosis and problems of management.
通过参照一种放射性核素扫描方法评估脾脏的临床触诊情况，该方法用于在体内测量脾脏体积，公式为V = 9.88A - 534，其中V = 体积（cm³），A = 后扫描面积（cm²）（Zhang和Lewis，1987年）。当脾脏明显肿大时，脾尖相对于肋缘的位置与临床可触知性密切相关，但当脾尖刚好位于肋缘下方时，并不总是能触知到。在某些情况下，正常大小的脾脏是可触知的，而不可触知的脾脏并不总是正常大小。由于扫描方法能准确测量脾脏大小，在脾脏轻度肿大时特别有用，此时关于脾肿大的可靠信息可能有助于阐明诊断和管理问题。
