延迟性脾破裂是临床少见的急症之一,早期体征不明显,易误诊,死亡率高。现将延迟性脾破裂误诊为上消化道出血1例报道如下。 男性,57岁,住院号 0064,因解果酱样大便10天,昏倒1次于1988年2月19日急诊入第二附属医院内科。患者于入院前10天开始腹胀,每日解果酱样大便3—4次,每次50—200g不等,无里急后重及畏寒发热,服西味替丁等药无效。2月18日上午突感上腹部疼痛,渐向下腹部扩散,伴头昏、畏寒,门诊诊断为上消化道出 Delayed splenic rupture is one of the rare clinical emergency, early signs are not obvious, easily misdiagnosed, high mortality. Delayed splenic rupture now misdiagnosed as upper gastrointestinal bleeding in 1 case reported as follows. Male, 57 years old, hospital number 0064, due to jam-like stool for 10 days, collapsed 1 February 19, 1988 emergency access to the Second Affiliated Hospital. Patients began bloating 10 days before admission, daily solution-like stool 3-4 times, each ranging from 50-200g, no tenesmus and chills and fever, serving Xi Wei for Ding and other drugs ineffective. On the morning of February 18, sudden sensation of upper abdominal pain, gradually spread to the lower abdomen, with dizziness, chills, outpatient diagnosis of upper gastrointestinal