CAJ | 학술논문

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％,P＜0.05),男性发病率高于女性(62％比38％,P＜0.05),内科首诊患者明显多于外科88/32(79％比21％,P＜0.05).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.
목적 탐색비경사적해부학기출여림상성인,제고비경사진치수평.방법 분석2003년12월지2012년9월본원수치적11례비경사급1999년이래문헌보도적131례비경사환자림상진치자료,결합25구성인시체비동맥만곡정황,분석비경사적성인.결과 림상자료현시60세이상노년인교고(73％비27％,P＜0.05),남성발병솔고우녀성(62％비38％,P＜0.05),내과수진환자명현다우외과88/32(79％비21％,P＜0.05).해부자료현시,25구성인시체중비동맥다수정만곡상.결론 비경사림상표현다양,역루진、오진.제고비경사적진료수평유뢰우증강진단의식,가강혈전전상태검측화급시、규범적치료.
Objective To study the anatomical basis and clinical causes of splenic infarction with an attempt to improve on the diagnosis and treatment of splenic infarction.Methods This study was conducted on 11 patients with splenic infarction seen in our hospital from December 2003 to September 2012,131 patients with a clinical diagnosis and treatment reported in the literature since 1999,and 25 adult cadavers showing the anatomy of the splenic arteries with an aim to find out the causes of splenic infarction.Results The clinical data showed that splenic infarction occurred more commonly in patients 60 years of age or older (73％ vs 27％,P＜0.05),and in males more than in females (62％ vs 38％,P＜0.05).The diagnosis was first made significantly more often by physicians than by surgeons 88/32 (79％ vs 21％,P＜0.05).The anatomical data showed that the majority of the splenic arteries in the 25 adult cadavers was curved.Conclusions The clinical manifestations of splenic infarction easily led to a misdiagnosis.Improvement in the diagnosis and treatment of splenic infarction would depend on the clinical awareness of this condition,the prothrombotic state detection and the implementation of timely and standardized treatment.