Neilan B A, Perry J F
JAMA. 1980 May 2;243(17):1741-2.
Children undergoing splenectomy after trauma commonly have few vacuolated RBCs, suggesting a recurrence of splenic activity. We assayed RBCs with vacuoles in 17 adults who had splenectomies for trauma and 15 adults who underwent splenectomy for nontraumatic indications. Vacuolated cells averaged 29.0% +/- 1.0% (SE) in adults having emergency splenectomies and 32.3% +/- 2.0% in those having elective splenectomies. One adult who had a splenectomy for trauma had few RBCs with vacuoles, and a technetium Tc 99m sulfur colloid spleen scan showed one accessory spleen. These findings suggest that recurrence of splenic activity in adults, unlike in children, is an uncommon sequela of splenic rupture.
创伤后接受脾切除术的儿童通常有少量空泡化红细胞，提示脾功能复发。我们检测了17例因创伤行脾切除术的成人和15例因非创伤性指征行脾切除术的成人的有空泡红细胞。急诊脾切除术的成人中空泡化细胞平均为29.0%±1.0%（标准误），择期脾切除术的成人中为32.3%±2.0%。1例因创伤行脾切除术的成人有空泡的红细胞很少，锝Tc 99m硫胶体脾扫描显示有一个副脾。这些发现表明，与儿童不同，成人脾破裂后脾功能复发是一种不常见的后遗症。
