摘要
目的:探讨脾梗死临床特点及诊疗策略.方法:查找全文数据库,提取符合标准的临床资料进行总结分析.结果:符合纳入标准的脾梗死病例137例,平均发病年龄54.1岁.主要相关疾病:循环系统疾病、血液系统疾病、消化系统疾病、自身免疫性疾病、感染性疾病分别占29.8%、21.4%、21.4%、5.3%、6.1%;以左上腹疼痛为首发症状就诊的患者占80.7%,35.7%患者左上腹压痛;CT检查准确率为97.2%,B超为66.1%;64.6%的患者行保守治疗,外科手术率35.4%,脾梗死治愈率88.7%,死亡率11.3%.结论:脾梗死临床较少见,容易误诊及漏诊,患者出现腹部症状时及时行CT扫描,尽早明确诊断,迅速启动有效治疗.
AIM： To analyze the clinical features of splenic infarction. METHODS： A retrospective search of papers published in databases was conducted. All cases of splenic infarction diagnosed by computed tomography （CT）, ultrasound and/or surgery were included and analyzed.
RESULTS： We found 137 cases of splenic infarction. Comorbidities included cardiovascular diseases （29.8%）, hematologic diseases （21.4%）, digestive diseases （21.4%）, autoimmune diseases （5.3%）, and infectious diseases （6.1%）. Abdominal or left flank pain was the most common chief complaint （80.7%）, and left upper quadrant tenderness was the most common sign （35.7%）. CT was the most accurate examination and could diagnose 97.2% of patients. 64.6% of patients received conservative medical management and 35.4% underwent the removal of the spleen. CONCLUSION： Splenic infarction is a rare entity. It is important to be aware of the diagnostic possibility of splenic infarction in a patient with unexplained abdominal pain so that prompt and effective therapy can be taken.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第11期1607-1611,共5页
World Chinese Journal of Digestology
关键词
脾梗死
栓塞
诊断
治疗
Splenic infarction
Embolism
Diagnosis
Therapy
作者简介
李一鸣，主要从事炎症性肠病和消化系肿瘤的研究
通讯作者：叶梅，副教授，主任医师，430071，湖北省武汉市武昌东湖路169号，武汉大学中南医院综合科消化病区．meiye08@yahoo．com
