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成人因创伤行脾切除术后的严重感染

Serious infections in adults following splenectomy for trauma.

作者信息

Zarrabi M H, Rosner F

出版信息

Arch Intern Med. 1984 Jul;144(7):1421-4.

PMID:6732404
Abstract

Postsplenectomy sepsis in children is a well-recognized hazard. Few reports discuss the risk of sepsis in the asplenic adult. Case reports of 47 adults with serious infections following splenectomy for trauma were examined. We conclude that fulminant sepsis after splenectomy for trauma in adults is indeed a potential risk and that all such patients should receive penicillin prophylaxis and pneumococcal vaccine.

摘要

儿童脾切除术后败血症是一种公认的风险。很少有报告讨论无脾成年人发生败血症的风险。我们检查了47例因外伤行脾切除术后发生严重感染的成年人的病例报告。我们得出结论,成人因外伤行脾切除术后暴发性败血症确实是一种潜在风险,所有此类患者均应接受青霉素预防治疗并接种肺炎球菌疫苗。

相似文献

1
Serious infections in adults following splenectomy for trauma.成人因创伤行脾切除术后的严重感染
Arch Intern Med. 1984 Jul;144(7):1421-4.
2
Postsplenectomy pneumococcemia in adults.成人脾切除术后肺炎球菌血症
Arch Pathol Lab Med. 1980 May;104(5):258-60.
3
Fulminant pneumococcal infections in 'normal' asplenic hosts.“正常”无脾宿主中的暴发性肺炎球菌感染。
Arch Intern Med. 1977 Nov;137(11):1526-30.
4
[Post-splenectomy septicemia].脾切除术后败血症
Tidsskr Nor Laegeforen. 1990 Sep 30;110(23):3012-5.
5
Prophylaxis against postsplenectomy pneumococcal infection.
Aust N Z J Surg. 1990 Mar;60(3):183-7.
6
Predictive factors in local sepsis after splenectomy for trauma in adults.成人创伤性脾切除术后局部脓毒症的预测因素
J R Coll Surg Edinb. 1988 Apr;33(2):68-70.
7
[Disseminated intravascular coagulation and pneumococcal septicemia after splenectomy].脾切除术后的弥散性血管内凝血与肺炎球菌败血症
Ugeskr Laeger. 1990 Mar 5;152(10):678-80.
8
Prophylaxis against pneumococcal infection after splenectomy: a challenge for hospitals and primary care.脾切除术后预防肺炎球菌感染:医院和初级保健面临的挑战。
Eur J Surg. 1997 Oct;163(10):733-8.
9
A prospective study on antibody response to repeated vaccinations with pneumococcal capsular polysaccharide in splenectomized individuals with special reference to Hodgkin's lymphoma.一项关于脾切除个体(特别提及霍奇金淋巴瘤患者)对肺炎球菌荚膜多糖重复接种疫苗的抗体反应的前瞻性研究。
J Intern Med. 2004 Jun;255(6):664-73. doi: 10.1111/j.1365-2796.2004.01312.x.
10
Pneumococcal infection several years after trauma.
Eur J Surg. 1993 May;159(5):309-10.

引用本文的文献

1
Survival Secrets: Unmasking the Factors Predicting Failure of Non-operative Management (NOM) in Splenic Injuries.生存秘诀:揭示预测脾损伤非手术治疗(NOM)失败的因素
Cureus. 2023 Oct 19;15(10):e47332. doi: 10.7759/cureus.47332. eCollection 2023 Oct.
2
Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives.腹腔镜手术治疗非手术治疗时代的脾损伤:现状与未来展望。
Surg Today. 2021 Jul;51(7):1075-1084. doi: 10.1007/s00595-020-02177-2. Epub 2020 Nov 16.
3
An update on nonoperative management of the spleen in adults.
成人脾脏非手术治疗的最新进展。
Trauma Surg Acute Care Open. 2017 Jun 9;2(1):e000075. doi: 10.1136/tsaco-2017-000075. eCollection 2017.
4
Prevention and therapy of bacterial infections for children with asplenia or hyposplenia.无脾或脾功能减退儿童细菌感染的预防与治疗。
Paediatr Child Health. 1999 Sep;4(6):417-31. doi: 10.1093/pch/4.6.417.
5
Long-term management after splenectomy. National guidelines please.脾切除术后的长期管理。请提供国家指南。
BMJ. 1994 Jan 8;308(6921):131. doi: 10.1136/bmj.308.6921.131.
6
Long term management of patients after splenectomy.脾切除术后患者的长期管理。
BMJ. 1993 Nov 27;307(6916):1372-3. doi: 10.1136/bmj.307.6916.1372.
7
Hyposplenism in gastrointestinal disease.胃肠道疾病中的脾功能减退
Gut. 1995 Feb;36(2):165-7. doi: 10.1136/gut.36.2.165.
8
A four-year experience with splenectomy versus splenorrhaphy.脾切除术与脾修补术的四年经验
Ann Surg. 1985 May;201(5):568-75. doi: 10.1097/00000658-198505000-00005.
9
Pneumococcal sepsis and meningitis in vaccinated subjects: a review of 55 reported cases.接种疫苗者的肺炎球菌败血症和脑膜炎:55例报告病例综述
J Natl Med Assoc. 1987 Apr;79(4):372-6.
10
Experience with selective operative and nonoperative treatment of splenic injuries in 193 patients.193例脾损伤患者的选择性手术及非手术治疗经验。
Ann Surg. 1990 May;211(5):583-9; discussion 589-91. doi: 10.1097/00000658-199005000-00008.