摘要
目的探讨外伤性脾破裂手术和非手术治疗的临床效果及护理。方法本院2008年1月至2012年11月收治的脾外伤患者73例,其中手术治疗58例,非手术治疗15例,分别对两组患者进行护理,分析两者临床治疗效果与护理。结果 73例无一例死亡;手术治疗58例,总有效率为96.55%;非手术治疗15例,总有效率为93.33%。其中术后发热11例,7例并发膈下感染,1例并发左肺炎,均保守治疗后痊愈。结论在遵循保命第一、保脾第二的原则下,依据适应证选择手术或非手术治疗均可获得较好的疗效。
Objective To explore the clinical effects and nursing experience of surgical and non-surgical treatment of the traumatic rupture.Methods 73 cases of the spleen trauma patients admitted to hospital from January 2009 to November 2012,including 58 cases of surgical treatment,non-surgical treatment of 15 cases,respectively,analysis the clinical outcomes and careappreciate of the two groups.Results There were no deaths in 73 cases,58 cases of surgical treatment,with a total effective rate of 96.55%,15 cases of non-surgical treatment,with a total effective rate of 93.33%.Postoperative fever in 11 cases,7 cases of concurrent subphrenic infection,5 cases with intestinal obstruction,1 case of left pneumonia,who were recovered after conservative treatment.Conclusion Follow the life-saving,preserving spleen second principle,according to the indication for surgical and non-surgical treatment have access to a good effect,nursing intervention is of great significance to improve patient outcomes.
出处
《中国实用医药》
2013年第4期185-187,共3页
China Practical Medicine
关键词
脾破裂
手术
保守治疗
护理
Splenic rupture
Surgery
Conservative treatment
Care
