摘要
目的 :探讨脾外伤的诊断原则。方法 :回顾分析我院自 1 992年 5月至 2 0 0 1年 5月收治的 1 1 1例脾外伤的临床资料。结果 :1 1 1例脾外伤中 ,手术治疗 94例 ,治愈 90例 ,治愈率为 95 .7% ;采用非手术疗法 1 7例 ,治愈 1 3例 ,治愈率为 76.5 %。死亡 4例 ,死亡率为 3.7% ;脾切除术 32例 ,保脾手术 70例 (含脾片大网膜内袋状移植 8例 ) ;有 1 2例延迟性脾破裂占 1 0 .8%。结论 :脾外伤的诊断应以临床征象为主 ,结合必要的辅助检查 ,重视延迟性脾破裂。
Objective:To determine whether surgical or nonsurgical therapy should be selected on the state of patients.Spleen excision or spleen conservation procedure should be selected on the rule of 'saving life first,conserving spleen second',summarizing the experience in diagnosis and treatment of splenic injuries.Methods:The clinical data of 111 patients with splenic injuries in 9 years from May 1992 to May 2001 were analysed retrospectively.Results:94 of 111 cases were treated by surgery;17 cases were treated by non surgical therapy and 13 cases were cured with the cure rate 76 5%.4 cases died in this group .The operative mortality was 3 7%.There were 32 cases with spleen excision and 70 cases with spleen conservation procedure(8 cases with spleen slice transplant).There were 12 cases with delayed spleen rupture,accounting for 10 8%.Conclusion:The diagnosis of splenic injury should be made on clinical data in combination with necessary auxiliary examination and delayed spleen rupture should be paid attention to.
出处
《滨州医学院学报》
2002年第4期261-262,共2页
Journal of Binzhou Medical University
