创伤性脾破裂非手术治疗探讨  

Experience in nonoperative management of adult splenic injury

作　　者：凌伟华[1] 肖接承[1] 汪智卿[1] 丁礼[1] 包龙[1] 

机构地区：[1]苏州大学附一院急诊外科,江苏省苏州市215006

出　　处：《中国现代医药杂志》2008年第10期31-32,共2页Modern Medicine Journal of China

摘　　要：目的探讨闭合性腹部外伤致脾破裂非手术治疗的可行性。方法对我院2003～2006年间收治的27例外伤性脾破裂患者的临床资料进行回顾性分析。结果8例患者行非手术治疗,占同期脾破裂患者的29.6%。其中1例非手术治疗失败后急症行脾切除+小肠破裂修补手术。7例非手术治疗患者均痊愈出院,平均住院时间为12天,出院随访3个月均恢复良好。结论选择合适的脾破裂患者行非手术治疗,是安全、有效的。Objective To summarize the experience in nonoperative management of adult blunt splenic injury. Methods Twenty-seven cases of adult splenic injury having been managed operatively or nonoperatively from 2003 to 2006 in a monitored setting were analysed. Results Eight patients were treated by nonoperative management amounting to 29.6% （8/27） in this period, nonsurgical therapy failed in one patient.This patient was caused with part small intestine excision and splenic excision in emergent operation. Seven patients underwent nonoperation were followed up for 3 months and had no complications noted. The mean length of hospitalization was 12 days. Conclusion Selective nonoperative management in adult patients with splenic injury can be done safely in a monitored setting.

关 键 词：脾破裂 非手术治疗 临床分析 治疗方法 

分 类 号：R657.6[医药卫生—外科学]