外伤性脾破裂95例诊治体会  

Diagnosis and treatment of traumatic spleen rupture in 95 cases

作　　者：江鸣[1] 周高潮[1] 郭文平[1] 

机构地区：[1]合肥市第二人民医院普外科,安徽合肥230011

出　　处：《现代医药卫生》2005年第9期1050-1051,共2页Journal of Modern Medicine & Health

摘　　要：目的总结外伤性脾破裂的诊治体会,进一步提高临床救治水平。方法回顾性分析我院2000～2004年收治的外伤性脾破裂的诊断与治疗。结果本组95例病人,非手术治疗成功8例,脾缝合修补术加生物胶粘合止血术10例,全脾切除术70例,全脾切除术加自体脾组织移植术7例,死亡3例,死于失血性休克、严重多发伤和多脏器器官功能衰竭。结论对外伤性脾破裂要及时诊断,选择恰当的治疗方法,并根据脾脏损伤的程度分类,遵循“抢救生命第一,保留脾脏第二”的原则进行手术,以达最佳疗效。Objective:To summarize the experience in diagnosis and treatme nt of traumatic spleen rupture.Methods:Diagnosis and treatment of95patients with t raumatic spleen rupture from2000to2004admmitted in our hospital were retrospecti vely reviewed.Results:Among them,ten patients were treated nonoperatively,only eight patients were cured.10cases received splenorrhaphy plus biotic binding ag ent,70cases splenectomy,7splenectomy with autologous spleen slices implanted i nto the greater omentum.Three patients died of hemorrhagic shock,severe multipl e injuries or MODS.Conclusion:Diagnosing traumatic spleen rupture in time,choos ing the appropriate treatment method,classifying according to the degree that s pleen damages and following the principle'the first is saving life,the second is reserving spleen'to perform surgical operation can reach the best curative ef fect.

关 键 词：外伤性脾破裂 诊治体会 全脾切除术 器官功能衰竭 诊断与治疗 2004年 回顾性分析 非手术治疗 缝合修补术 组织移植术 严重多发伤 失血性休克 救治水平 及时诊断 治疗方法 脾脏损伤 抢救生命 保留脾脏 最佳疗效 止血术 生物胶 

分 类 号：R657.62[医药卫生—外科学] R656[医药卫生—临床医学]