Linos D A, Nagorney D M, McIlrath D C
Mayo Clin Proc. 1983 Apr;58(4):261-4.
Intrasplenic abscess is an uncommon but potentially lethal condition. Successful management of patients with this complication is facilitated by early diagnosis. The salient clinical features, the diagnostic approaches, and the results of treatment in a group of 19 patients are presented. Splenic abscess was diagnosed ante mortem in two-thirds of the patients but preoperatively in only one-third. When the diagnosis of splenic abscess was made, treatment with splenectomy and antibiotics was associated with a 17% mortality. A high degree of clinical alertness, an awareness of the predisposing clinical conditions, and an aggressive diagnostic approach are emphasized as being essential for an early diagnosis and effective treatment of splenic abscess.
脾内脓肿是一种罕见但可能致命的疾病。早期诊断有助于成功治疗患有这种并发症的患者。本文介绍了一组19例患者的显著临床特征、诊断方法及治疗结果。三分之二的患者在生前被诊断出脾脓肿，但术前仅三分之一的患者被诊断出。当诊断出脾脓肿时，脾切除术联合抗生素治疗的死亡率为17%。强调高度的临床警觉性、对易感临床状况的认识以及积极的诊断方法对于脾脓肿的早期诊断和有效治疗至关重要。
