社区获得性肺炎并发脾破裂：一例报告。
Splenic rupture in community acquired pneumonia: A case report.
作者信息
Guy Stephen, De Clercq Stefaan
机构信息
Gladstone Hospital, Park Street, Gladstone, QLD, 4680, Australia.
Gladstone Hospital, Park Street, Gladstone, QLD, 4680, Australia.
出版信息
Int J Surg Case Rep. 2016;29:85-87. doi: 10.1016/j.ijscr.2016.10.054. Epub 2016 Oct 26.
INTRODUCTION
Splenic rupture is a rare but potentially lethal complication of community acquired pneumonia.
PRESENTATION OF CASE
We present an unusual case of haemorrhagic shock following splenic rupture requiring emergency splenectomy in a 49 year old female with community acquired pneumonia.
DISCUSSION
The epidemiology, aetiology, pathogenesis, clinical features, investigation, management and outcomes of atraumatic splenic rupture are discussed.
CONCLUSION
Atraumatic splenic rupture is a rare but potentially fatal complication of numerous disease processes including pneumonia. A high index of suspicion and a thorough and systematic approach to the deteriorating patient is required to prevent related morbidity and mortality. Post-operative follow-up must address the potential sequelae of asplenia.
引言
脾破裂是社区获得性肺炎一种罕见但可能致命的并发症。
病例介绍
我们报告一例不寻常的病例，一名49岁患社区获得性肺炎的女性在脾破裂后发生出血性休克，需要紧急行脾切除术。
讨论
探讨了非创伤性脾破裂的流行病学、病因、发病机制、临床特征、检查、治疗及预后。
结论
非创伤性脾破裂是包括肺炎在内的多种疾病过程中一种罕见但可能致命的并发症。对于病情恶化的患者，需要高度的怀疑指数以及全面系统的处理方法，以预防相关的发病率和死亡率。术后随访必须关注无脾的潜在后遗症。
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