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意外脾切除术：术后早期和晚期并发症

Incidental splenectomy: early and late postoperative complications.

作者信息

Klaue P, Eckert P, Kern E

出版信息

Am J Surg. 1979 Aug;138(2):296-300. doi: 10.1016/0002-9610(79)90390-8.

DOI:10.1016/0002-9610(79)90390-8
PMID:464234
Abstract

Of 542 splenectomies performed from 1964 to 1977, 242 were incidental to gastrointestinal surgery. The highest rate of complications was observed in these patients as opposed to those who underwent splenectomy for trauma or Hodgkin's disease. Eighteen laboratory studies did not show significant changes 1.5 to 10 years postoperatively in 96 patients. Ninety-three patients questioned because of late symptoms had the highest rate of complaints after incidental splenectomy.

摘要

在1964年至1977年期间进行的542例脾切除术中，有242例是胃肠道手术的附带手术。与因创伤或霍奇金病接受脾切除术的患者相比，这些患者的并发症发生率最高。18项实验室研究显示，96例患者术后1.5至10年没有显著变化。93例因晚期症状接受询问的患者在附带脾切除术后的投诉率最高。

相似文献

1
Incidental splenectomy: early and late postoperative complications.意外脾切除术：术后早期和晚期并发症
Am J Surg. 1979 Aug;138(2):296-300. doi: 10.1016/0002-9610(79)90390-8.
2
[Indication and achievements of after-care examinations in Hodgkin's disease. Splenectomy].[霍奇金病术后复查的指征与成果。脾切除术]
Fortschr Geb Rontgenstr Nuklearmed. 1973;0(0):suppl:117-20.
3
Splenectomy in early chronic myeloid leukaemia: preliminary report on 37 cases.慢性粒细胞白血病早期脾切除术：37例初步报告
Haematologica. 1974 Dec;59(4):428-39.
4
[Complications of splenectomy].[脾切除术的并发症]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Jul-Aug;24(4):241-8.
5
Changing indications for splenectomy. 30 years' experience.脾切除术适应证的变化。30年经验。
Arch Surg. 1980 Apr;115(4):447-51. doi: 10.1001/archsurg.1980.01380040073013.
6
Complications of splenectomy. Comparative study of elective, urgent and incidental splenectomy.脾切除术的并发症。择期、急诊及意外脾切除术的比较研究。
Isr J Med Sci. 1980 Sep-Oct;16(9-10):655-8.
7
A prospective study of 100 splenectomies.一项针对100例脾切除术的前瞻性研究。
Aust N Z J Surg. 1978 Aug;48(4):390-7. doi: 10.1111/j.1445-2197.1978.tb04883.x.
8
Surgery of the spleen.脾脏手术。
Surg Clin North Am. 1975 Apr;55(2):287-301. doi: 10.1016/s0039-6109(16)40582-7.
9
[Complications following splenectomy].
Langenbecks Arch Chir. 1986;369:251-7. doi: 10.1007/BF01274364.
10
Therapeutic splenectomy.
Am Surg. 1975 Sep;41(9):567-70.

引用本文的文献

1
Iatrogenic splenic injury in postoperative patients: a series of case reports.
Emerg Radiol. 2008 Mar;15(2):109-13. doi: 10.1007/s10140-007-0669-y. Epub 2007 Dec 20.
2
Splenectomy in a general hospital.综合医院中的脾切除术
J R Soc Med. 1996 Apr;89(4):199-201. doi: 10.1177/014107689608900407.
3
Malign effects of splenectomy--the place of conservative treatment.脾切除术的不良影响——保守治疗的地位
Postgrad Med J. 1982 Feb;58(676):65-9. doi: 10.1136/pgmj.58.676.65.
4
[Immunologic capacity and blood circulation of splenic autotransplants--experimental results in swine].[脾自体移植的免疫能力与血液循环——猪的实验结果]
Langenbecks Arch Chir. 1986;369:399-403. doi: 10.1007/BF01274398.
5
[Long-term sequelae of splenic loss].[脾脏缺失的长期后遗症]
Langenbecks Arch Chir. 1986;369:259-61. doi: 10.1007/BF01274365.
6
[Complications following splenectomy].
Langenbecks Arch Chir. 1986;369:251-7. doi: 10.1007/BF01274364.
7
[The ligament system of the spleen and its significance for surgical interventions].
Langenbecks Arch Chir. 1987;371(3):207-16. doi: 10.1007/BF01259432.
8
[Subjective sequelae of splenectomy].[脾切除术后的主观后遗症]
Langenbecks Arch Chir. 1990;375(4):214-9. doi: 10.1007/BF00187441.