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[脾脓肿。附3例新病例]

[Splenic abscesses. Apropos of 3 new cases].

作者信息

Cotano J R, Atin V, Ellacuria F J, Madariaga M A, Aguinagalde M, Barrenetxea J, Sabas J A

出版信息

J Chir (Paris). 1985 May;122(5):335-40.

PMID:3900111
Abstract

Splenic abscess remains a rare condition which is difficult to diagnose and is usually only an autopsy finding. However, it is a serious situation despite surgical treatment which is curative for most abscesses. The authors report 3 cases of single splenic abscess seen at random over a short period of 9 months. Urinary tract infection and diabetes as favoring factors, with a clinical picture of fever, pain in the left hypochondrium and leucocytosis led to additional investigations (CT scan and echotomography) confirming the diagnosis. Splenectomy with drainage of the splenic bed, as surgical treatment, was successful in all 3 cases.

摘要

脾脓肿仍然是一种罕见的病症,难以诊断,通常仅在尸检时发现。然而,尽管手术治疗对大多数脓肿具有治愈性,但这仍是一种严重的情况。作者报告了在短短9个月内随机遇到的3例单发脾脓肿病例。尿路感染和糖尿病作为诱发因素,伴有发热、左季肋部疼痛和白细胞增多的临床表现,促使进行了进一步检查(CT扫描和超声检查)以确诊。作为手术治疗方法,行脾切除术并引流脾床,3例均获成功。

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