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急性脑梗死合并脾梗死继发脾破裂1例报告

于芹 陈晨 夏茜 陈进

引用本文:
Citation:

急性脑梗死合并脾梗死继发脾破裂1例报告

DOI: 10.3969/j.issn.1001-5256.2021.10.033
详细信息
    通信作者:

    陈进,chenjin@163.com

  • 中图分类号: R657.6

A case of acute cerebral infarction with splenic rupture secondary to splenic infarction

  • 图  1  头颅MRI平扫显示右侧额顶叶亚急性脑梗死

    注: a,DWI像; b,FLAIR像; c,T2WI加权像; d,T1WI加权像。

    图  2  上腹部CT增强示脾脏梗死

    注: a,动脉期; b,静脉期; c,延迟期; d,重建冠状位。

    图  3  胸腹部CT横断位示脾脏梗死伴破裂,腹腔积血、积液

    图  4  脾脏破裂伴出血、梗死(HE染色,×16)

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    [2] WANG AM, JIAO HT, FANG CR, et al. A case of splenic rupture after endoscopic retrograde cholangiopancreatoraphy[J]. J Clin Hepatol, 2020, 36(6): 1356-1357. DOI: 10.3969/j.issn.1001-5256.2020.06.035.

    王爱民, 焦海涛, 方超然, 等. 经内镜逆行胰胆管造影术后并发脾破裂1例报告[J]. 临床肝胆病杂志, 2020, 36(6): 1356-1357. DOI: 10.3969/j.issn.1001-5256.2020.06.035.
    [3] LIU J, FENG Y, LI A, et al. Diagnosis and treatment of atraumatic splenic rupture: Experience of 8 cases[J]. Gastroenterol Res Pract, 2019, 2019: 5827694. DOI: 10.1155/2019/5827694.
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    [5] RENZULLI P, HOSTETTLER A, SCHOEPFER AM, et al. Systematic review of atraumatic splenic rupture[J]. Br J Surg, 2009, 96: 1114-1121. DOI: 10.1002/bjs.6737.
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    中华医学会外科学分会脾功能与脾脏外科学组. 脾脏损伤治疗方式的专家共识(2014版)[J]. 临床肝胆病杂志, 2015, 31(7): 1002-1003. DOI: 10.3969/j.issn.1001-5256.2015.07.002.
    [7] KANAGASUNDARAM NS, MACDOUGALL IC, TURNEY JH. Massive haemoperitoneum due to rupture of splenic infarct during CAPD[J]. Nephrol Dial Transplant, 1998, 13(9): 2380-2381. DOI: 10.1093/ndt/13.9.2380.
    [8] GASCON A, IGLESIAS E, BELVIS JJ, et al. The elderly hemo-dialysis patient with abdominal symptoms and hypovolaemic shock-splenic rupture secondary to splenic infarction in a patient with severe atherosclerosis[J]. Nephrol Dial Transplant, 1999, 14(4): 1044-1045. DOI: 10.1093/ndt/14.4.1044.
    [9] ARGIRIS A. Splenic and renal infarctions complicating atrial fibrillation[J]. Mt Sinai J Med, 1997, 64(4-5): 342-349. http://www.ncbi.nlm.nih.gov/pubmed/9293737
    [10] BRADBURY AW, BRITTENDEN J, MCBRIDE K, et al. Mesenteric ischemia: A muhidisciplinary approach[J]. Br J Surg, 1995, 82(11): 1446-1459. DOI: 10.1002/bjs.1800821105.
    [11] MAHESH B, MUWANGA CL. Splenic infarct: A rare cause of spontaneous rupture leading to massive haemoperitoneum[J]. ANZ J Surg, 2004, 74(11): 1030-1032. DOI: 10.1111/j.1445-1433.2004.03227.x.
    [12] PAN JJ. The changes of spleen volume and its correlation with serum inflammatory factors and T lymphocytes in patients with acute cerebral infarction[J]. Chin J Integr Med Cardio/cerebrovascular Dis, 2020, 18(12): 1983-1987. DOI: 10.12102/j.issn.1672-1349.2020.12.038.

    潘晶晶. 急性脑梗死病人发病后脾脏体积变化及与血清炎性因子、T淋巴细胞的相关性分析[J]. 中西医结合心脑血管杂志, 2020, 18(12): 1983-1987. DOI: 10.12102/j.issn.1672-1349.2020.12.038.
    [13] VAHIDY FS, PARSHA KN, RAHBAR MH, et al. Acute splenic responses in patients with ischemic stroke and intracerebral hemorrhage[J]. J Cereb Blood Flow Metab, 2016, 36(6): 1012-1021. DOI: 10.1177/0271678X15607880.
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出版历程
  • 收稿日期:  2021-01-25
  • 录用日期:  2021-02-18
  • 出版日期:  2021-10-20
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