意外性脾裂伤的保脾手术治疗体会  

作　　者：蔡银忠 

机构地区：[1]湖南省宁乡县人民医院普外科,湖南宁乡410600

出　　处：《中外医疗》2010年第15期68-68,70,共2页China & Foreign Medical Treatment

摘　　要：目的对意外性脾脏裂伤后的手术治疗的临床表现进行观察,对术后治疗效果进行分析。方法对60例脾脏裂伤患者进行保脾手术治疗,通过观察证实了按照裂伤程度的不同应该实施不同方法的手术恢复治疗。结果只有5例患者出现感染,换药以后都痊愈。1例患者出现术后再出血症状,进行了治疗后痊愈经过观察,术后患者的免疫球蛋白及ECT等检查效果满意。结论对患者进行脾保留手术后的临床效果甚佳,其疗效充分证明了脾在人体内所起的免疫和调节等重要作用,也符合强调的个体化治疗,应该尽可能的保留脾,使其发挥更大的作用。Objective To observe the clinical performance of splenic laceration after accidental surgical treatment and analyse the effects of postoperative treatment.Methods 60 cases of splenic rupture in patients with spleen-preserving surgery and it confirmed that patients with the different degree of laceration should be implemented in different ways of the surgical recovery treatment。 Results Only five patients were infected but after dressing they recovered.One patient had postoperative bleeding and was cured after treatment.The results of observation of postoperative ECT and immunoglobulin in patients were satisfactory.Conclusion The spleen-preserving surgery in patients with the clinical results are very good.Its efficacy has fully proved that in the human body spleen played an important role in immunity and regulation,and is also emphasizing individual treatment.We should retain the spleen as possible as we can,so that it can play a greater role.

关 键 词：意外性脾脏裂伤 手术治疗 个体化治疗 保脾手术 

分 类 号：R657.62[医药卫生—外科学]