Keramidas D C
Surgery. 1979 May;85(5):530-3.
Overwhelming sepsis is splenectomized children may be a real threat to life. As an alternative to splenectomy, ligation of the splenic artery in combination which splenorrhaphy was used successfully in two children with splenic trauma involving major segmental vessels. In both patients the postoperative course was normal. Peripheral blood tests, immunological studies, and scintigraphies disclosed no abnormalities of the spleen after the ligation of the splenic artery. Aortographies showed a collateral arterial network in the spleen. Therewith, 11 and 12 months after the operation, respectively, both cases--the first of our series--are presented and discussed.
暴发性脓毒症对于脾切除术后的儿童可能是一个真正的生命威胁。作为脾切除术的替代方法，脾动脉结扎联合脾修补术成功应用于两名涉及主要节段血管的脾外伤儿童。两名患者术后病程均正常。外周血检查、免疫学研究和闪烁扫描显示脾动脉结扎后脾脏无异常。主动脉造影显示脾脏有侧支动脉网络。因此，分别在术后11个月和12个月，我们展示并讨论了这两个病例——我们系列中的首例。
