Teich S, Oliver G C, Canter J W
Am Surg. 1986 Jun;52(6):303-7.
Five cases of splenic abscess seen between 1970 and 1984 are reviewed. The predisposing factors included preceding pyogenic infection, sickle cell disease, and contiguous disease in the pancreas. Abdominal pain and fever were the most frequent presenting symptoms. The most common physical finding was left upper quadrant (LUQ) abdominal tenderness. All patients were treated with splenectomy. In one patient percutaneous drainage was attempted prior to splenectomy but failed. The mortality rate was 20 per cent. Radiologic procedures developed in the last ten years make possible the early diagnosis and treatment of splenic abscess. The treatment of choice remains antibiotics followed by splenectomy.
对1970年至1984年间所见的5例脾脓肿病例进行了回顾。诱发因素包括先前的化脓性感染、镰状细胞病以及胰腺的邻近疾病。腹痛和发热是最常见的首发症状。最常见的体格检查发现是左上腹压痛。所有患者均接受了脾切除术治疗。1例患者在脾切除术前尝试了经皮引流，但失败了。死亡率为20%。过去十年中发展起来的放射学检查方法使脾脓肿的早期诊断和治疗成为可能。首选的治疗方法仍然是抗生素治疗后行脾切除术。
