Strauch G O
Am J Surg. 1979 Apr;137(4):478-83. doi: 10.1016/0002-9610(79)90118-1.
Mounting evidence supports efforts to preserve splenic function. This evidence indicates (1) that the problem of postsplenectomy sepsis warrants splenic preservation whenever possible, and (2) that the spleen, as a whole or in part, and its function, can be preserved in cirmustances which formerly seemed to necessitate removal of the entire spleen. Nine patients with splenic injuries in whom splenic function was preserved successfully are presented. Approaches to management of the splenic injuries included (1) nonoperative management, (2) hemostasis by application of microfibrillar collagen (Avitene), (3) partial splenic resection, and (4) preservation of accessory spleen. Since reliable prevention and treatment of postsplenectomy sepsis do not seem attainable in the near future, continuing efforts to preserve function of the spleen whenever possible, in patients with injured spleens, seem justified and desirable.
越来越多的证据支持保留脾脏功能的努力。这些证据表明：（1）脾切除术后败血症问题使得只要有可能就应保留脾脏；（2）在以前似乎需要切除整个脾脏的情况下，整个脾脏或部分脾脏及其功能可以得到保留。本文报告了9例脾脏损伤后脾脏功能成功保留的患者。脾脏损伤的处理方法包括：（1）非手术治疗；（2）应用微纤维胶原（阿维停）止血；（3）部分脾切除术；（4）保留副脾。由于在不久的将来似乎无法可靠地预防和治疗脾切除术后败血症，因此对于脾脏损伤患者，尽可能持续努力保留脾脏功能似乎是合理且可取的。
