Alvarado C S, Wyly B, Buchanan I, Fajman W A
Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322.
Clin Pediatr (Phila). 1988 Aug;27(8):396-9. doi: 10.1177/000992288802700809.
We describe a 15-year-old black boy with hemoglobin S-C disease living in Atlanta (altitude 1,034 ft), with no prior history of aircraft or mountain travel, who developed splenic infarction. The clinical picture was characterized by severe left upper quadrant abdominal pain, fever, splenomegaly, and hematologic and scintigraphic evidence of functional asplenia. The diagnosis was suggested by liver/spleen scintigraphy and further confirmed by ultrasonography and computerized tomography (CT) of the spleen. Treatment consisted of analgesics, intravenous fluids, and short-term antibiotic therapy. The child recovered without sequelae.
我们描述了一名15岁患有血红蛋白S-C病的黑人男孩，他居住在亚特兰大（海拔1034英尺），此前没有乘坐飞机或前往山区旅行的经历，却发生了脾梗死。临床表现为严重的左上腹腹痛、发热、脾肿大，以及血液学和闪烁扫描检查显示的功能性无脾证据。肝/脾闪烁扫描检查提示了诊断，脾脏超声检查和计算机断层扫描（CT）进一步证实了该诊断。治疗包括使用镇痛药、静脉补液和短期抗生素治疗。该患儿康复，未留下后遗症。
