Papadimitriou J, Tritakis C, Karatzas G
Lancet. 1976 Dec 11;2(7998):1268-70. doi: 10.1016/s0140-6736(76)92030-4.
In a patient with liver cirrhosis and severe hypersplenism resistent to corticosteroids splenectomy was attempted but proved impossible. Embolisation of the splenic artery with tiny fragments of absorbable gelatin sponge induced gradual restitution of haematological function to normal after 6 wk. Abdominal pain, paralytic ileus of short duration, transient pyrexia, and pleural effusion ensued but were well tolerated. The patient has remained well, 2 1/2 mo later. It is suggested that this simple method may prove rewarding and could safely be used, if necessary, more than once in patients for whom other treatments are unsuitable or have failed.
对于一名患有肝硬化和严重脾功能亢进且对皮质类固醇治疗无效的患者，尝试进行脾切除术，但事实证明无法实施。用可吸收明胶海绵小碎片栓塞脾动脉后，6周后血液学功能逐渐恢复正常。随后出现腹痛、短期麻痹性肠梗阻、短暂发热和胸腔积液，但患者耐受性良好。2个半月后，该患者情况一直良好。有人认为，这种简单方法可能被证明是有效的，并且在必要时，如果其他治疗方法不适用或失败，可以在患者身上安全地多次使用。
