Treatment of pyogenic splenic abscess: nonsurgical procedures.
Treatment of pyogenic splenic abscess: nonsurgical procedures.
复制标题
化脓性脾脓肿的治疗：非手术程序。
DOI：
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
C. Fung
中科院分区：
文献类型：
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作者：
T. Jang;C. Fung
本文报告1984年1月至1993年12月收治的10例脾脓肿。诱发疾病包括先前的化脓性感染、连续感染、创伤和糖尿病。最常见的症状为发热、寒战和左上腹疼痛。常规实验室检查发现常见异常，包括明显的白细胞增多和胸片异常伴左侧胸腔积液。所有10例患者均为孤立性脓肿。肠杆菌科和厌氧菌是最常见的致病微生物，1例患者有多种微生物感染。10名患者中有9名成功接受了经皮超声引导引流治疗，无严重并发症。只有1例患者因脾脓肿破裂进入腹腔而接受脾切除术。10例患者全部存活。这篇综述指出，经皮引流术可能取代脾切除术作为孤立性脾脓肿病例的初始方法。
This paper reviews 10 cases of splenic abscess seen from January 1984 to December 1993. Predisposing conditions included preceding pyogenic infections, contiguous infection, trauma, and diabetes. Fever, chills and pain over the left upper quadrant of the abdomen were the most common symptoms. Routine laboratory tests uncovered common abnormalities which included marked leukocytosis and abnormal chest film with left pleural effusion. All 10 patients had a solitary abscess. Enterobacteriaceae and anaerobes were the most common offending organisms and one patient had polymicrobial infections. Nine of the 10 patients were successfully treated with percutaneous sonographically-guided drainage without significant complications. Only one patient underwent splenectomy because of rupture of the splenic abscess into the peritoneal cavity. All 10 patients survived. This review indicates that percutaneous drainage may replace splenectomy as the initial approach in cases of a solitary splenic abscess.