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首页> 外文期刊>Journal of Surgical Case Reports >Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
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Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy

机译：脾切除术前用微气球导管治疗脾动脉阻塞的无出血性脾破裂合并出血性休克和凝血病

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摘要

Atraumatic splenic rupture (ASR) is an uncommon pathologic condition in which bleeding from the spleen occurs for a variety of nontraumatic reasons. While the current trend in traumatic splenic rupture is nonoperative management including transcatheter arterial embolization, the current recommendation for the treatment of most patients with ASR is splenectomy. In this report, we describe two cases of ASR presenting with hemorrhagic shock and complicated by anticoagulation therapy. In patients with severe hemorrhagic shock and coagulopathy, a damage control strategy is recommended. Our successful treatment of these patients included a three-step strategy as a damage control: (i) rapid transient hemostasis by splenic artery occlusion using a microballoon catheter, (ii) damage control resuscitation and (iii) splenectomy as a definitive hemostatic treatment.
机译：无创伤性脾破裂（ASR）是一种罕见的病理性疾病，由于各种非创伤性原因，脾脏发生了出血。虽然目前创伤性脾破裂的趋势是非手术治疗，包括经导管动脉栓塞，但目前对大多数ASR患者的治疗建议是脾切除术。在本报告中，我们描述了2例伴有失血性休克并伴有抗凝治疗的ASR病例。对于严重失血性休克和凝血病的患者，建议采取损害控制策略。我们对这些患者的成功治疗包括三步治疗策略：（i）使用微气球导管通过脾动脉闭塞进行快速短暂止血;（ii）损伤控制复苏;（iii）脾切除术作为最终的止血治疗。

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