Ratner M H, Garrow E, Valda V, Shashikumar V L, Somers L A
J Pediatr Surg. 1977 Dec;12(6):1019-25. doi: 10.1016/0022-3468(77)90614-5.
Fatal sepsis has been reported with increasing frequency following splenectomy for trauma. Efforts to save the spleen were made in 17 children with blunt abdominal trauma. Two patients required splenectomy, but 15 were managed successfully by splenic repair. No patient required reoperation, and there were no complications. Follow-up scans were remarkably normal. It is concluded that splenic lacerations are usually amenable to suture repair, and splenorrhaphy, not splenectomy, is the treatment of choice for splenic injury.
据报道，因创伤行脾切除术后发生致命性脓毒症的频率越来越高。对17例腹部钝性创伤患儿采取了保脾措施。2例患者需要行脾切除术，但15例通过脾修补术成功治疗。无一例患者需要再次手术，也没有并发症。随访扫描结果显著正常。得出的结论是，脾裂伤通常适合缝合修复，脾修补术而非脾切除术是脾损伤的首选治疗方法。
