摘要
目的探讨脾损伤非手术治疗的病例遴选原则和诊断方式选择。方法回顾性总结分析1990.10-2006.10非手术治疗76例脾损伤病例。结果76例中,经非手术治疗伤愈出院70例(92.1%),中转手术4例(5.3%),均为Ⅱ级脾损伤患者,2例(2.6%)死于多发伤合并器官功能衰竭。结论脾脏具有特殊免疫功能和自我修复能力,非手术治疗脾脏损伤是安全可行的,治疗结果取决于合适的病例遴选和诊断方式选择。
Objective To study the indication of non-operative management and diagnosis methods of splenic injuries.Methods The elinieal data and results of 76 cases from October 1990 to October 2006 with splenic injuries managed non-operative were analyzed retrospectively. Results There were 70 （92.1%） cases conservative successfully, 4 cases （5.3%） under medical treatment were turned the spleen and 2 cases （2.6%） died from muhiple injuries and multiple organ failure.Conclusion Selective non-operative management in patients with splenic injuries is a safe and feasible way, grade Ⅰ- Ⅱ of splenic injuries can be managed non-operatively under tight observation. The effect is determined by the diagnosis methods and reasonable case selection.
出处
《医学信息》
2009年第7期1232-1234,共3页
Journal of Medical Information
关键词
脾损伤
非手术治疗
选择
Splenic injury
Non-operative management
Selection
