Spencer D D, Ragland J J
Department of General Surgery, Naval Hospital, San Diego, Calif 92134-5000.
J Am Osteopath Assoc. 1993 Feb;93(2):249-51.
The diagnosis of delayed rupture of the spleen may be difficult to make because of the presumed triviality of the precipitating injury, an unpredictable time lag between the injury and the development of symptoms, and the possibility of atypical signs and symptoms remote from the bleeding spleen. The clinician may confuse the signs and symptoms with those of acute appendicitis or with some other cause. The authors present two case histories to illustrate the diagnostic difficulties caused by delayed rupture of the spleen. Whenever the acute surgical abdomen is present with concomitant anemia, the diagnosis of delayed rupture of the spleen should be considered.
脾脏延迟破裂的诊断可能会很困难，这是因为促发损伤被认为不严重、损伤与症状出现之间存在不可预测的时间间隔，以及远离出血脾脏处可能出现非典型体征和症状。临床医生可能会将这些体征和症状与急性阑尾炎或其他病因的体征和症状相混淆。作者呈现了两个病例史来说明脾脏延迟破裂所导致的诊断困难。只要出现急性急腹症并伴有贫血，就应考虑脾脏延迟破裂的诊断。
