Incidence and Function of Residual Splenic Tissue Following Splenectomy for Trauma in Adults

作者: Charles D. Livingston

DOI: 10.1001/ARCHSURG.1983.01390050083016

关键词: Splenic functionMedicineSignificant differenceSurgerySplenectomyIncidence (epidemiology)ScintigraphySplenic TissueSpleenSplenic mass

摘要: A limited study of children requiring splenectomy for trauma suggested a 59% incidence splenosis. We attempted to confirm these results in 40 adult patients with trauma. Residual splenic tissue, from either splenosis or accessory spleens, was seen 26% who underwent and subsequent scintigraphy. There no significant difference serum IgM levels between control without residual tissue. also the percentage pitted RBCs splenectomized However, both groups had significantly higher numbers than did controls. These indicate that though significant, is lower previously reported, natural probably small mass incapable restoring total function.

参考文章(10)
W. Daniel Traetow, Changing indications for splenectomy. 30 years' experience. Archives of Surgery. ,vol. 115, pp. 447- 451 ,(1980) , 10.1001/ARCHSURG.1980.01380040073013
BARRON J. OʼNEAL, JOHN C. McDONALD, The Risk of Sepsis in the Asplenic Adult Annals of Surgery. ,vol. 194, pp. 775- 778 ,(1981) , 10.1097/00000658-198112000-00020
Howard A. Pearson, Dorothy Johnston, Karen A. Smith, Robert J. Touloukian, The Born-Again Spleen New England Journal of Medicine. ,vol. 298, pp. 1389- 1392 ,(1978) , 10.1056/NEJM197806222982504
HAROLD KING, HARRIS B. SHUMACKER, Splenic studies. I. Susceptibility to infection after splenectomy performed in infancy. Annals of Surgery. ,vol. 136, pp. 239- 242 ,(1952) , 10.1097/00000658-195208000-00006
A. J. Eraklis, S. V. Kevy, L. K. Diamond, R. E. Gross, Hazard of Overwhelming Infection after Splenectomy in Childhood New England Journal of Medicine. ,vol. 276, pp. 1225- 1229 ,(1967) , 10.1056/NEJM196706012762203
AD Schwartz, M Dadash-Zadeh, R Goldstein, S Luck, JJ Conway, Antibody response to intravenous immunization following splenic tissue autotransplantation in Sprague-Dawley rats Blood. ,vol. 49, pp. 779- 783 ,(1977) , 10.1182/BLOOD.V49.5.779.779