Beger H G, Kunz R, Roscher R
Klinik für Allegmeine Chirurgie, Universität Ulm.
Zentralbl Chir. 1988;113(1):20-5.
Post-splenectomy sepsis is a possible consequence, following traumatic loss of the spleen. An incidence of 1.05 per cent and mortality of 0.5 per cent may be assumed. The risk of infection for patients with traumatic loss of the spleen was found to be 60 times higher than that facing the general population. Spleen-preserving operations were found to ensure immune competence only in patients with not less than 30 per cent of intact spleen substance and under conditions of unimpaired blood supply. Occupational disablement usually occurs to 30 per cent of post-splenectomy patients during the first year from operation. Ten per cent were disabled for good, provided absence of complications.
脾切除术后败血症是脾脏外伤性缺失后的一种可能后果。据推测，其发病率为1.05%，死亡率为0.5%。发现脾脏外伤性缺失患者的感染风险比普通人群高60倍。发现保脾手术仅在脾脏实质保留不少于30%且血供未受影响的患者中能确保免疫功能。脾切除术后患者在术后第一年通常有30%会出现职业残疾。如果没有并发症，10%的患者会永久性残疾。
