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一些研究强调了因意外而作脾切除术引起手术继发感染和死亡的增加。在脾切除术后脓毒症性疾病和死亡的长期危险同样有所增加。1952年首次报告了脾切除术后的小儿发生暴发性脓毒症。现在对脾切除后脓毒症综合征的临床已有明确认识,主要是由肺炎链球菌引起。该综合征的特征是暴发的脓毒症,病程发展很快,而死亡率极高。还常见到弥漫性血管内凝血和华—佛氏综合征。本文分析的对象是1970.1.1～1980.8.15作过脾切除的277例病人。按手术指征分成6个组。有201例(72.6%)得到随访。结果发现全组有26例死亡(9.4%),并发症发生率为29.6%。意外性脾切除术,这是最大的一组有107例(38.6%)。有15例(14%)死亡。该组不仅死亡率很高,也有很高的并发症发病率。45例有并发症;17例属
Some studies have highlighted the increased incidence of secondary surgical infections and death due to accidental splenectomy. The same is true of the long-term risk of septic disease and death after splenectomy. The first episode of fulminant sepsis in children after splenectomy was reported in 1952. Now the clinical diagnosis of splenectomy syndrome has a clear understanding of the disease, mainly caused by Streptococcus pneumoniae. The syndrome is characterized by an outbreak of sepsis, the course of development is rapid, and the mortality rate is extremely high. Also common to diffuse intravascular coagulation and Hua - Buddha’s syndrome. The object of this article is 277 patients who underwent splenectomy from 1970.1.1 to 1980.8.15. According to surgical indications divided into 6 groups. There were 201 cases (72.6%) were followed up. The results showed that the whole group of 26 deaths (9.4%), the complication rate was 29.6%. Accidental splenectomy, which is the largest group of 107 patients (38.6%). Fifteen patients (14%) died. This group not only had a high mortality rate, but also had a high incidence of complications. 45 cases had complications; 17 cases were genus