Delaitre B, Zerbib M, Chapuis Y, Louvel A, Claret Y
J Chir (Paris). 1982 Apr;119(4):237-40.
The authors report three cases of splenic abscess. The condition developed twice during a salmonella infection associated in one case with sickle cell disease. In two patients, the spleen was the site of a suppurated infarction. One patient died shortly after operation. Study of the 79 cases of splenic abscess treated surgically published since 1960 reveals a mortality of 16%. This rare condition is seen essentially during typhoid and septicaemias (endocarditis). Such pathology in also now seen in drug addicts. The diagnosis and, hence, the prognosis should be improved by the use of echography which seems to be the most reliable investigation before peritonitis by rupture which remains a complication associated with a heavy mortality.
作者报告了三例脾脓肿病例。这种情况在沙门氏菌感染期间出现了两次,其中一例与镰状细胞病有关。在两名患者中,脾脏是化脓性梗死的部位。一名患者术后不久死亡。对1960年以来手术治疗的79例脾脓肿病例的研究显示,死亡率为16%。这种罕见的病症主要见于伤寒和败血症(心内膜炎)。现在在吸毒者中也可见到这种病理情况。使用超声检查似乎是在因破裂导致腹膜炎之前最可靠的检查方法,而破裂仍是一种伴有高死亡率的并发症,这有望改善诊断,进而改善预后。