小儿外伤性脾损伤的治疗(附50例分析)  

Management of splenic trauma in children(a report of 50 cases)

作　　者：曲日斌[1] 侯翔宇[1] 

机构地区：[1]中国医科大学附属第二医院小儿外科,辽宁沈阳110004

出　　处：《小儿急救医学》2005年第2期103-104,共2页Pediatric Emergency Medicine

摘　　要：目的探讨不同程度小儿脾损伤的治疗方法,以提高小儿脾损伤的治疗效果。方法回顾性总结1990年1月～2003年12月间收治的50例小儿脾损伤的临床资料,讨论不同类型脾损伤的临床诊断和处理方法。结果非手术治疗33例,手术治疗17例,其中单纯性脾缝合7例,脾切除5例,脾切除且大网膜移植5例,50例患儿全部治愈。结论早期正确诊断,并根据不同损伤类型选择合理的治疗方法,小儿脾损伤可以取得满意的疗效。Objective To discuss the management of different degrees of pediatric splenic injury and to improve the diagnostic and curative effect.Methods 50 patients with splenic injuries were retrospectively reviewed who were admitted to our hospital from January 1990 to December 2003. The clinic diagnosis and treatment of different type of splenic injury were discussed.Results Thirty-three patients were managed without surgery. 17cases were operated ,among whom 7 by splenic suture repair, 5 by splenectomy, 5 by splenic resect with epiplorrhaphy. All 50 patients were recovered well.Conclusion Early and exact diagnosis and choosing reasonable treatment according to different splenic injury could get satisfactory effect in management of pediatric splenic injury.

关 键 词：儿童 脾损伤 保脾治疗 手术 

分 类 号：R726.5[医药卫生—儿科]