Kobzová D, Holesa S, Jakubovský J, Holeczy P, Durdík S, Porubský J, Trnka J
Ustav patologickej anatómie LF UK a FN, Bratislava.
Cesk Patol. 1996 Feb;32(1):30-3.
The most common causes of splenic rupture are blunt injury and surgical intervention in abdominal cavity. Morphological investigation of the spleen often shows but a small capsular laceration as well as haemorrhage and granulocytic infiltration in microscopy of its margins. The laceration may be sometimes difficult to find. There are two types of microscopical haemorrhage. One in sinus-lacking subcapsular tissue zone, the other in deeper layers. In this case the tissue haemorrhage is diffuse, sometimes within or around the marginal zone. The sinuses are neither collapsed nor obturated by any material even close to margins of the wound.
脾破裂最常见的原因是钝性损伤和腹腔手术干预。脾脏的形态学检查通常仅显示较小的包膜撕裂,以及在其边缘显微镜检查时发现出血和粒细胞浸润。撕裂有时可能难以发现。显微镜下有两种出血类型。一种在缺乏血窦的包膜下组织区域,另一种在更深层。在这种情况下,组织出血是弥漫性的,有时在边缘区内部或周围。即使在伤口边缘附近,血窦也既不塌陷也没有被任何物质阻塞。