摘要
目的 探讨闭合性脾损伤非手术治疗的可行性及适应证。方法 对78例非手术治疗的闭合性脾损伤的临床资料进行回顾性分析。结果 本组治愈73例（93．6％），住院时间12-30天。另5例由于血流动力学不稳定而中转手术治愈。结论 选择性非手术治疗脾损伤是安全、可行的，但必须严格掌握适应证和严密监测伤情变化，若在非手术治疗期间血流动力学不稳定或发生延迟性出血应及时手术治疗。
Objective To investigate the feasibility and indication of treatment in closed spleen injuries. Methods The clinical data of 78 cases with closed spleen injuries was analyzed retrospectively. Results All cases were cured, among which 73 cases （ 93.6% ） were cured by the non-operative management, another 5 cases were cured by operation because of unstable hemodynamics or delayed hemorrhage during the period of nonoperative management. Conclusion Non-operative management of closed spleen injuries is safe and feasible. But the operation should be promptly performed when the hemodynamics is unstable or delayed hemorrhage occurs during the non-operative management.
出处
《创伤外科杂志》
2006年第1期27-28,共2页
Journal of Traumatic Surgery
关键词
脾脏损伤
治疗
splen injury
treatment
