脾大（Splenomegaly）.docVIP

脾大（Splenomegaly） P, D, [splenomegaly] due to the enlargement of the spleen under normal circumstances can not touch the spleen. Visceral ptosis or left pleural effusion. After a decrease in gas accumulation, the spleen can be shifted downward. In addition, supine and right lateral decubitus may touch the edge of the spleen can be considered as splenomegaly, in recent years in the clinical application, found a large number of touch not to splenomagely in health examination, B ultrasound showed splenomegaly were accounted for about 15%, most of them are not to touch. It is through the actual measurement B-show, which is really big, earlier showed enlarged spleen, when the hand can touch the spleen, the spleen has increased to more than double. Edit this paragraph description 1, category (1): mild splenomegaly deep breathing in the lower edge of the spleen subcostal 2 ~ 3cm for mild splenomegaly. Found in some viral infections, bacterial infections, Rickettsia infection, early schistosomiasis, congestive heart failure, liver cirrhosis and portal hypertension, Hodgkin disease, juvenile rheumatoid arthritis fire, systemic lupus erythematosus, tropical eosinophilia, idiopathic thrombocytopenia purpura. Splenomegaly (2) moderate splenomegaly: lower margin beyond the subcostal 3cm to the umbilicus is moderately enlarged. In acute myelogenous leukemia, acute lymphocytic leukemia and chronic hemolytic anemia, infectious mononucleosis, vitamin D deficiency, spleen amyloidosis, malignant lymphoma and Niemann disease - PEAK. (3): beyond the margin of extreme splenomegaly below the umbilical level for splenomegaly or extreme megalosplenia. In chronic myelogenous leukemia, chronic malaria, schistosomiasis, spot for disease, bone marrow fibrosis, polycythemia vera, Mediterranean anemia, Gaucher disease etc.. 2. different causes different signs of splenomegaly (1) anemia, bleeding or ecchymosis in blood: splenomegaly disease, such as various types of leukemia, idiopathic thrombocyto