脾梗死的基础解剖与临床研究.pdfVIP

‘738‘ ·论著· 脾梗死的基础解剖与临床研究 夏绍友 李荣 李晨 侯文字 王春喜 宁宁 【摘要】 目的探索脾梗死的解剖学基础与临床成因，提高脾梗死诊治水平。方法 分析2003 年12月至2012年9月本院收治的11例脾梗死及1999年以来文献报道的131例脾梗死患者临床诊 治资料，结合25具成人尸体脾动脉弯曲情况，分析脾梗死的成因。结果临床资料显示60岁以上老 年人较高(73％比27％，P0．05)，男性发病率高于女性(62％比38％，P0．05)，内科首诊患者明显 多于外科88／32(79 oA比21％，P0．05)。解剖资料显示，25具成人尸体中脾动脉多数呈弯曲状。结 论脾梗死临床表现多样，易漏诊、误诊。提高脾梗死的诊疗水平有赖于增强诊断意识，加强血栓前 状态检测和及时、规范的治疗。 【关键词】脾梗塞；脾动脉；诊断 Anatomicalandclinicalresearchon infarctionXjA Chen，HOUWen splenic Shao—you，L，Rong，LI Chun—xi，NING General General yu，WANG Ning．Departmentof Surgery，theHospitalo， Chinese Liberation 100853，China People’S Armv，Beiiing Co author：LJ r7r已s户。扎di以g Rong，Email：lirong@medmail．com．cn To theanatomicalbasisandclinicalcausesof infarctionwith [Abstract]Objectivestudy splenic an tO on treatmentof This was the and infarction．Methods attemptimprovediagnosis splenic study 1 conductedon1 with infarctionseeninour fromDecember2003tO patientssplenic hospital September withaclinical andtreatmentintheliteraturesince 25 2012，131 1999，and patients diagnosis reported adultcadavers withanaimtOfindout the ofthe arteries thecausesof showinganatomysplenic splenic infarction．ResultsTheclinicaldatashowedthat infarctionoccurredmore in splenic commonlypa— tients60 of or inmalesmorethanin years older(73％VS27％，P0．05)，and females(62％VS age 38％，P0．05)．Thewasfirstmade moreoften than sur—