Nigam K, Hughes R G, Murphy B
Department of Surgery, Torbay Hospital, Devon, UK.
J R Coll Surg Edinb. 1998 Feb;43(1):57-8.
The recognition of the grave risk of overwhelming sepsis in splenectomized individuals has led to the search for alternatives to splenectomy. Conservative management, first tried successfully in children and later extended to adult patients, has become the accepted form of treatment and has also been tried with success in haemophiliac children. The case presented here is important because this is the first report of a successful outcome of non-operative treatment of a ruptured spleen in a haemophiliac adult.
认识到脾切除患者发生严重败血症的巨大风险后,人们开始寻找脾切除术的替代方法。保守治疗首先在儿童中取得成功,后来扩展到成年患者,已成为公认的治疗方式,并且在血友病儿童中也取得了成功。此处介绍的病例很重要,因为这是血友病成年患者脾脏破裂非手术治疗成功结果的首例报告。