延迟性脾破裂10例诊断与治疗体会  

Diagnosis and treatment of delayed rupture of spleen

作　　者：陶东升[1] 高有龙[1] 朱国民[1] 

机构地区：[1]安徽省池州市第二人民医院,安徽池州247000

出　　处：《海南医学院学报》2009年第3期245-246,共2页Journal of Hainan Medical University

摘　　要：目的:探讨延迟性脾破裂(DRS)的诊断与治疗。方法:对10例DRS临床资料进行回顾性分析。结果:10例均在伤后1周左右就诊,均有闭合性损伤病史,均在全麻下行脾切除,术后治愈,平均住院17.2d。结论:对于既往有上腹部外伤史且有腹部体征者要警惕延迟性脾破裂的可能,一旦确诊,应急诊行脾切除治疗是可靠的DRS治疗方法。Objective： To discuss the diagnosis and treatment of delayed rupture （DRS） of spleen. Methods： Retrospective analyses of 10 DRS cases were conducted. Results： All patients had a history of dosed injury about a week before their admission. After underwent splenectomy under general anesthesia all patients were discharged well with average hospitalization duration of 17.2 days. Conclusion： For abdominal signs presented in patients who have a history of external injury, DRS should be considered with awareness. Once final diagnosis of DRS was made, emergent splenectomy should be performed immediately as a reliable treatment.

关 键 词：脾破裂 延迟性 诊断 脾切除术 

分 类 号：R657.62[医药卫生—外科学]