Päivänsalo M, Myllylä V, Siniluoto T, Kairaluoma M I, Lohela P
Acta Chir Scand. 1986 Dec;152:733-7.
Results from imaging of 30 splenic ruptures were analyzed. Radiography gave abnormal findings in 7/30 thoracic examinations and 8/19 plain abdominal films. Ultrasonography rarely revealed focal splenic lesions at primary examination, though intraperitoneal fluid was commonly found. Subsequently more focal changes were discovered, and none of the 19 examined patients ultimately had a normal ultrasonogram. There were focal splenic lesions in ten patients, subcapsular fluid in four and intraperitoneal fluid in 14. Computed tomography revealed abnormality in all ten studies patients--irregular splenic parenchyma in six, subcapsular fluid accumulation in five and intraperitoneal fluid in six cases.
对30例脾破裂的影像学检查结果进行了分析。在30例胸部X线检查中有7例出现异常表现，19例腹部平片中8例有异常。超声检查在初次检查时很少发现脾脏局灶性病变，不过常可发现腹腔内有液体。随后发现了更多的局灶性改变，19例接受检查的患者最终均未获得正常的超声检查结果。10例患者存在脾脏局灶性病变，4例有脾包膜下积液，14例有腹腔内积液。计算机断层扫描显示，所有10例接受检查的患者均有异常——6例脾脏实质不规则，5例有脾包膜下积液，6例有腹腔内积液。
