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中华产科急救电子杂志 ›› 2021, Vol. 10 ›› Issue (01) : 60 -62. doi: 10.3877/cma.j.issn.2095-3259.2021.01.013

所属专题: 经典病例 文献

病例报告

妊娠合并脾梗死并破裂出血一例
李雪媛1, 陈辉2, 陈敦金1, 林琳1,()   
  1. 1. 510150 广州 广州医科大学附属第三医院产科
    2. 510150 广州 广州医科大学附属第三医院病理科
  • 收稿日期:2020-05-08 出版日期:2021-02-18
  • 通信作者: 林琳
  • 基金资助:
    国家自然科学基金重点项目(81830045)

Splenic infarction with rupture and hemorrhage during pregnancy: a case report

Xueyuan Li1, Hui Chen2, Dunjin Chen1   

  • Received:2020-05-08 Published:2021-02-18
引用本文:

李雪媛, 陈辉, 陈敦金, 林琳. 妊娠合并脾梗死并破裂出血一例[J]. 中华产科急救电子杂志, 2021, 10(01): 60-62.

Xueyuan Li, Hui Chen, Dunjin Chen. Splenic infarction with rupture and hemorrhage during pregnancy: a case report[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(01): 60-62.

图1 妊娠合并脾梗死并破裂患者腹部CT图。A图红色箭头所示为脾周积血,B图黄色箭头所示为脾出血灶
图2 妊娠合并脾梗死并破裂患者术中脾脏情况图。 A图黄色箭头所示为脾破裂口;B图绿色箭头所示为正常脾脏外观,红色箭头所示为脾梗死区
图3 妊娠合并脾梗死并破裂患者切除脾脏标本图。 脾脏大小为15.5 cm×12 cm×6 cm,约2/3脾梗死淤血(A、B红色框内所示),梗死面积7 cm×6 cm(A蓝色框内所示),表面见数处小裂口(黄色箭头所示),最长约6 cm(B所示)
图4 妊娠合并脾梗死并破裂患者脾脏大体及病理图。A脾脏大体——黄色箭头所示为正常脾脏组织,红色箭头所示为错构瘤及梗死组织;B黄色箭头所示为正常脾脏组织,红色箭头所示为错构瘤组织,绿色箭头所示为脾梗死组织;C为脾脏错构瘤样改变,部分区域红髓明显扩大,被膜纤维化增厚,血管呈不规则扩张增生明显,管腔内内衬内皮细胞,部分呈高内皮肥胖样细胞改变
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