Lorentzen T, Roikjaer O
Ugeskr Laeger. 1989 May 8;151(19):1171-2.
Splenic infarction is a recognized sequel of a number of diseases but, until recently, it has been difficult to verify. Employing the new imaging techniques, the spleen has become diagnostically more accessible and increase in the number of splenic infarctions diagnosed must be anticipated. The commonest basic cause is cardiovascular disease but the etiology may be manifold. Whereas the infarct as such is of lesser significance, splenic abscess, eg after bacterial endocarditis, is a life-threatening condition. The treatment consists of surgical drainage and, frequently, splenectomy. The lethality is reduced from nearly 100% to approximately 10% when the correct treatment is employed.
脾梗死是多种疾病公认的后遗症，但直到最近，其一直难以得到证实。随着新成像技术的应用，脾脏在诊断上更容易触及，预计诊断出的脾梗死数量将会增加。最常见的根本病因是心血管疾病，但其病因可能是多方面的。虽然梗死本身意义较小，但脾脓肿，如细菌性心内膜炎后的脾脓肿，是一种危及生命的病症。治疗包括手术引流，且通常需要进行脾切除术。采用正确治疗方法后，致死率从近100%降至约10%。
