Paris S, Weiss S M, Ayers W H, Clarke L E
Department of Surgery, Polyclinic Medical Center, Harrisburg, Pennsylvania 17110.
Am Surg. 1994 May;60(5):358-61.
The character and management of splenic abscess has changed in the past decade. The condition is more frequent, diagnosis is more easily established, and survival is more likely. Seven patients with splenic abscess from 1981-1992 were retrospectively reviewed. These patients had different etiologies for their splenic abscess, including hematogenous bacteria spread, contiguous spread, and previous history of trauma to the spleen or left upper quadrant. Most patients presented clinically with fever, left upper quadrant tenderness, and leukocytosis. All patients underwent CT scanning that was reliably diagnostic. All seven patients underwent splenectomy. Six of the seven patients were discharged from the hospital. We conclude that CT scan remains the gold standard for definitive diagnosis of splenic abscess, and splenectomy is very effective therapy.
在过去十年中，脾脓肿的特征及治疗方式已经发生了变化。这种病症更为常见，诊断更容易确立，且存活可能性更大。对1981年至1992年间的7例脾脓肿患者进行了回顾性研究。这些患者脾脓肿的病因各异，包括血源性细菌传播、邻近组织蔓延以及既往有脾脏或左上腹外伤史。大多数患者临床上表现为发热、左上腹压痛和白细胞增多。所有患者均接受了具有可靠诊断价值的CT扫描。所有7例患者均接受了脾切除术。7例患者中有6例出院。我们得出结论，CT扫描仍是脾脓肿确诊的金标准，脾切除术是非常有效的治疗方法。
