脑出血并迟发性脾破裂一例并文献复习  

A case and literature review of cerebral hemorrhage with delayed rupture of spleen

作　　者：盛扬 杨露[1] 彭涛[1] 陶干 谢亮[1] SHENG Yang;YANG Lu;PENG Tao;TAO Gan;XIE Liang(Department of Rehabilitation,Hankou Hospital of Wuhan City,Hubei Province,Wuhan430012,China)

机构地区：[1]武汉市汉口医院康复科,湖北武汉430012

出　　处：《中国当代医药》2021年第9期172-174,共3页China Modern Medicine

摘　　要：迟发性脾破裂是脾脏受伤后脾被膜下出现血肿,或脾被膜下的裂口不大,出血缓慢,血液凝固或大网膜包裹裂口而暂时不出血,某种诱因下才出现腹腔内出血症状。生理状态的脾质地软而脆,易受暴击而破裂出血,病理性状态下的脾脏因肿大和脆性增加,更易破裂。其临床表现不典型,症状隐匿,诊断较为困难,误诊率高,使治疗延误。本文对脑出血并迟发性脾破裂病例进行分析,了解脾破裂的病因、发病机制及目前诊断方法,从而更好地服务临床。Delayed rupture of the spleen referred to all kind of spleen rupture being injuried,which presented as injured splenic subcapular hematoma,or slow bleeding with little gap under the spleen capsule,or not bleeding temporarily because of blood coagulation.The phenomenon of intraperitoneal hemorrhage only appears under certain inducement.The spleen in physiological state is soft and brittle,which is prone to rupture and bleeding due to critical impact.The spleen in pathological state is more likely to rupture due to enlargement and brittleness.Due to its untypical clinical manifestations,hidden symptoms,the diagnosis of delayed rupture of spleen was difficult or even turned out wrong,directly causing the treatment to be delayed.This paper analyzed one case of cerebral hemorrhage with delayed rupture of spleen being understood the etiology,pathogenesis and current diagnosis.So as to better serve the clinical.

关 键 词：脑出血 迟发性脾破裂 脾切除术 生理状态 病理状态 多层螺旋CT 

分 类 号：R657.62[医药卫生—外科学]