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保脾手术治疗小儿外伤性脾破裂25例体会

Experience in the Treatment of Traumatic Splenic Rupture in Children with Spleen-Preserving Surgery
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摘要 目的 探讨保脾手术治疗小儿外伤性脾破裂的术式选择及适应证。方法  1 995年 4月— 2 0 0 2年 4月 ,对 2 5例保脾手术治疗小儿外伤性脾破裂进行回顾性分析。结果 2 5例施行保脾手术患者均恢复良好 ,术后无继发出血 ,均获治愈 ,随访5~ 8年 ,日常学习及生活质量良好。结论 遵循脾损伤治疗原则 ,以保脾手术治疗小儿外伤性脾破裂具有更大的安全性和可行性。 Objective To study the choice of method and indications of spleen-preserving surgery for treating traumatic splenic rupture in children. Methods 25 cases of traumatic splenic rupture in children from April, 1995 to April 2002 were analysed retrospectively. Results All the 25 cases had recovered well after spleen-preserving surgeries without secondly bleeding. After a 5 to 8 years of follow-up, their daily studies and life qualities were good. Conclusion Following the treatment principles of spleen trauma, the method of spleen-preserving surgery for traumatic splenic rupture has more safeties and feasibility and should be advocated.
机构地区 解放军第
出处 《临床军医杂志》 CAS 2003年第6期57-59,共3页 Clinical Journal of Medical Officers
关键词 保脾手术 治疗 小儿 外伤性脾破裂 适应证 splemic rupture traumatic children
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  • 1Karen W. West M.D.,Jay L. Grosfeld M.D.. Postsplenectomy sepsis: Historical background and current concepts[J] 1985,World Journal of Surgery(3):477~483

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