摘要
目的 :总结创伤性脾破裂的诊治经验 ,进一步提高救治水平。方法 :对 1992年至 2 0 0 2年间连续收治的 15 9例创伤性脾破裂的诊断与治疗作回顾性分析 ,本组包括复合性外伤 98例 ,其中合并休克 76例 ;单纯性脾破裂 5 2例 ,其中合并休克 30例 ;迟发性脾破裂 6例 ;脾包膜下破裂 3例。结果 :根据外伤史、临床表现、诊断性腹腔空刺、腹部B超和 (或 )CT等检查结果 ,诊断符合率 98.1%。本组非手术治疗 6例 ,全部治愈 ;手术治疗 15 3例 ,治愈 14 7例。全组共治愈 15 3例 ,治愈率 96.2 %。死亡 6例 ,死于大出血和严重多发伤。结论 :创伤性脾破裂行脾切除术疗效肯定 ,并发症发生率和死亡率低 ,对重度失血性休克和严重多发伤患者 ,应采取更积极的外科治疗手段 。
Objective: To summarize the experience in the diagnosis and treatment of traumatic spleen rupture. Methods :The diagnosis and treatment of consecutive 159 patients with traumatic spleen rupture from January 1992 to December 2002 were reviewed. In this group, composite trauma 98 cases, 76 cases were complicated with shock ; simple splenic rupture 52 cases, 30 cases were complicated with shock ; tardive splenic rupture 6 cases ; infracortical splenic rupture 3 cases. Results: The diagnosis was established by the history of injury, clinical presentations, diagnostic pertoneal punctures, abdominal ultrasonography and/or CT. The accuracy rate of diagnosis was 98.1%(156/159). Six patients were treated nonoperatively and cured; one hundred and forty seven of 153 patients treated operatively were cured. The total care rate was 96.2%(153/159). Six patients died of uncontrolable hemorrhage or severe multiple injuries. Conclusions: Splenectomy for the treatment of traumatic spleen rupture is satisfactory. The morbidity and mortality of splenectomy are low.
出处
《河北医学》
CAS
2003年第4期302-304,共3页
Hebei Medicine
