自发的脾的破裂在在肝外科的 Pringle 演习期间

• 作者: Bas Lamme Erik J Hesselink Jesse M van Buijtenen
• 来源期刊: 世界肝病学杂志：英文版（电子版）
• 学科: 医学
• 关键词: SPLEEN RUPTURE Pringle MANEUVER Liver SURGERY
• 年，卷（期）: 2010,（6）
• 页码范围: 243-245
• 页数: 3页
• 分类号: R657.3

摘要

During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.