脾脏外科手术治疗的思考  

Dialectically Analysis the Orientation of the Spleen Surgery

作　　者：许建彪[1] 郭建辉[1] 杨晓春[2] 

机构地区：[1]云南省第一人民医院普外二科,云南昆明650032 [2]云南省第一人民医院眼科,云南昆明650032

出　　处：《医学与哲学（B）》2013年第8期79-81,共3页Medicine & Philosophy(B)

摘　　要：目前国内外医学界倾向于对具有手术指征的脾脏疾病行全脾脏切除术,甚至进行一些脾脏周围疾病的手术时,也连脾脏一同切除。这种做法违背了医疗的"个体化"原则。本文以哲学角度对脾脏全切除术治疗脾脏相关疾病的合理性进行思考,辩证分析"全切"与"不全切"的利弊,为临床脾脏外科学制定正确的手术方式提供科学的参考依据。由此我们认为脾脏手术应依据具体情况,因不同患者的疾病类别和危重程度来决定脾脏的切除范围,不能一概全切。Now medical science both internal and abroad prone to do splenectomy in all spleen diseases, even spleen was ex- cised in some spleen periphery diseases＇ operations, which disobey the principle of individualization. This paper is to think the rationality of splenectomy to cure all spleen diseases, and to analyze the advantages and disadvantages of total splenec- tomy and part splenectomy dialectically, then to find the correct operation method for spleen surgery. Finally, we realize that clinical doctors should choose desirable resection extent according specific situation and different kind of spleen diseases,not to do total splenectomy for all.

关 键 词：辩证分析 脾脏外科手术 脾脏全切术 

分 类 号：R657.6[医药卫生—外科学] R605[医药卫生—临床医学]