由外伤引起的脾破裂作脾切除术过程中常发生碎脾组织自体种植体内,称为自体异位脾种植(ectopic splenic autotransplantation,ESAT),其发生率较高,约48％。99mTc-热变性红细胞(99mTc-DRBC)显像可特异性鉴别ESAT,本文报告脾破裂作脾切除后发生腹腔内ESAT二例,用99mTc- DRBC显像加以特异性诊断。例1男,42岁。1984年4月因车祸发生脾破裂,在外院行脾切除术,术后情况很好。2004年8月出现阵发性高 Splenic rupture caused by trauma Splenectomy often occurs in spleen tissue autologous implant, called ectopic splenic autotransplantation (ESAT), the incidence is higher, about 48%. 99mTc-degeneration of red blood cells (99mTc-DRBC) imaging can specifically identify ESAT, this report spleen rupture after splenectomy ESAT occurred in two cases, with 99mTc-DRBC imaging to be specific diagnosis. Example 1 male, 42 years old. In 1984 April due to accidental spleen rupture, splenectomy in the hospital, postoperative condition is very good. Occurred in August 2004 high