Lamesch A, Kaiser M, Lousqui M
Chir Pediatr. 1982;23(4):290-2.
A case of rightsided adrenal hemorrhage and multiple splenic ruptures by birth trauma in a newborn is described. The right kidney was impaired by compression of a voluminous retroperitoneal hematoma. In spite of persistent blood supply the kidney is hypoplastic and remains with secretory function two months after operation. The authors recommend surgery in all cases of voluminous retroperitoneal hematoma with an impaired kidney. The spleen was preserved by plugging with styptic sponges. Importance of abdominal drainage for control of splenic bleeding and blood replacement in the postoperative course is stressed.
描述了一例新生儿因出生时的创伤导致右侧肾上腺出血和多处脾破裂的病例。右肾因巨大的腹膜后血肿压迫而受损。尽管肾脏持续有血液供应，但发育不全，术后两个月仍保留分泌功能。作者建议，对于所有伴有肾脏受损的巨大腹膜后血肿病例均应进行手术。通过用止血海绵填塞保留了脾脏。强调了腹部引流在控制脾出血和术后输血过程中的重要性。
