摘要
回顾分析2005年1月至2020年1月温岭市第一人民医院普外科术中发生医源性脾损伤49例患者的临床资料,其中20例(40.8%)发生于胃手术,15例(30.6%)发生于结肠手术,14例(28.6%)发生于其他手术中;脾损伤程度Ⅰ级40例、Ⅱ级9例。发现脾损伤后,即在创面局部置生理盐水纱布球湿敷,用大功率高频电凝将脾脏损伤创面组织固化而血止,电热凝固止血时间3~20 min,49例患者均成功止血并保脾。提示,大功率高频电凝湿敷创面止血法处理术中意外Ⅰ、Ⅱ级脾损伤简单可靠,无需特殊器械。
The iatrogenic splenic injuries occurred in 49 patients who underwent abdominal surgery from January 2005 to January 2020;including grade I injury in 40 cases and gradeⅡinjury in 9 patients.The normal saline-soaked gauze was placed on the wound surface of the injured spleen,then the high-frequency electric coagulator was employed for hemostasis.The bleeding was successfully stopped and the spleens were preserved without postoperative complications in all cases.The results show that moist electrothermal coagulation can be effectively and safely applied in treatment of grade I and gradeⅡinjury iatrogenic splenic injuries,and no special equipment required.
作者
陈海波
蒋英浩
施成飞
Chen Haibo;Jiang Yinghao;Shi Chengfei(Department of General Surgery,Wenling First People′s Hospital,Wenling 317500,China)
出处
《中华全科医师杂志》
2021年第3期359-361,共3页
Chinese Journal of General Practitioners
关键词
脾破裂
手术中并发症
电凝术
止血
手术
单极高频电刀
胃肠道手术
Splenic rupture,intraoperative complications
Electrocoagulation
Hemostasis,surgical
Monopolar electrical cautery
Gastroenteric surgery
