闭合性损伤致脾破裂延迟出血21例诊治分析  

Diagnosis and treatment analysis of closed traumatic splenic rupture delay hemorrhage in 21 cases

作　　者：张升瑞[1] 赵连和[1] 吴秀[1] 苏雪姣[2] 

机构地区：[1]沈阳医学院奉天医院普外二科,辽宁沈阳110000 [2]中国医科大学临床医学系,93期七年制辽宁沈阳110000

出　　处：《中国当代医药》2012年第14期188-189,共2页China Modern Medicine

摘　　要：目的探讨闭合性损伤致脾破裂延迟出血的临床特点、诊治经验与体会。方法选择2000年1月～2011年1月本院收治的21例外伤脾破裂延迟出血的患者,对其病历资料进行回顾性总结。结果非手术治疗保脾患者1例,2例患者行缝合修补,6例患者行部分脾切除术,12例患者行脾切除术,21例患者均痊愈出院。结论怀疑有脾损伤而超声检查未见异常的患者密切观察病情变化;CT检查对于脾损伤的诊断帮助更大;脾破裂延迟出血的年轻患者仍要积极行保脾治疗。Objective To discuss the clinical feature and treatment experience of closed traumatic splenic rupture delay hemorrhage. Methods Clinical data of 21 patients with traumatic splenic rupture delay hemorrhage from January 2000 to January 2011 were analyzed and summarized retrospectively. Results One case of spleen keeping patient was given nonop- erative treatment, 2 cases were treated with simple splenorrhaphy, 6 cases were treated with partial splenectomy and 12 cases were treated with whole splenectomy, 21 cases of patients were all recovered from the hospital. Conclusion Careful observation is necessary for patients who are suspected spleen damage and had no abnormal ultrasound result. CT detection has more help with diagnosis of spleen damage; young patients with splenic rupture delay hemorrhage need spleen keeping treatment.

关 键 词：脾破裂 延迟出血 诊断 治疗 

分 类 号：R656[医药卫生—外科学]