摘要
目的探讨不明原因发热伴脾肿大时行脾切除术的临床意义及围手术期处理方法。方法回顾性分析我院1990年1月-2005年12月收治的不明原因发热伴脾肿大病人43例的临床资料。本组病例均行脾切除术，并取肝组织及腹腔淋巴结活检，以明确病理诊断。结果本组43例中，最终明确诊断者40例，占93．0％。其中，以血液系统恶性疾病最多见，占60．6％。大部分病人术后均接受了正规化疗，病情缓解。术后并发症发生率为25．6％，以感染最为常见。脾切除术后1月内死亡2例。结论对于不能明确诊断的发热伴脾肿大的病人，脾切除术具有十分重要的临床意义，应尽早施行。
Objective To evaluate the clinical value of diagnostic splenectomy in patients with fever and splenomegaly, and discuss the treatment before and after operation. Methods The clinical data of 43 patients with fever of unknown origin and splenomegaly from Jan. 1990 to Dec. 2005 were retrospectively analyzed. They all had an operation of diagnostic splenectomy, biopsy of liver and lymph nodes in abdominal cavity for pathologic diagnosis. Results In these 43 patients,40 of them（93.0% of all）were found out of a determinate diagnosis at last. The malignant diseases of blood system were the most common disease, occupied 60. 6 % of all. Most of them had a chemotherapy after operation and got better. The incidence of complication was 25.6% and infection was the most common one. Two patients died within 1 month after operation. Conclusion Diagnostic splenectomy was very valuable for the patients with fever of unknown origin and splenomegaly and should be done as soon as possible.
出处
《腹部外科》
2006年第4期218-219,共2页
Journal of Abdominal Surgery
关键词
发热
原因不明
诊断
鉴别
脾切除术
脾大
Fever of unknown origin
Diagnosis, differential
Splenectomy
Splenomegaly
