Schwerk W B, Braun B
Rofo. 1981 Mar;134(3):296-300. doi: 10.1055/s-2008-1056358.
We report on ultrasonic findings on 6 patients who suffered from subcapsular or delayed traumatic bleeding of the spleen. All patients had been hospitalized in our department of internal medicine because of a misinterpretation of their clinical symptoms. In 4 patients we secured the intraperitoneal bleeding with ultrasonically guided fine needle aspiration puncture. In case of a suspected ruptured spleen we suggest ultrasonic tomography with guided aspiration puncture at the beginning of diagnostic measures before invasive procedures (peritoneal lavage, angiography) and during follow-up.
我们报告了6例脾包膜下或延迟性外伤性脾出血患者的超声检查结果。所有患者因临床症状被误诊而入住我院内科。4例患者通过超声引导下细针穿刺抽吸术控制了腹腔内出血。对于疑似脾破裂的情况，我们建议在诊断措施开始时，即在进行侵入性检查（腹腔灌洗、血管造影）之前以及随访期间，采用超声断层扫描并引导穿刺抽吸。
