急诊科对脾破裂患者治疗的应用研究  

Application research for treatment in patients with splenic rupture in department of emergency

作　　者：黎永胜[1] 

机构地区：[1]汕头大学医学院第一附属医院急诊科,广东汕头515041

出　　处：《中国伤残医学》2015年第14期9-11,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：分析院前急诊对脾破裂保脾治疗的临床价值。方法：选取96例脾破裂保脾治疗的患者为研究对象，分别采用内科保守治疗、射频消融辅助下的保脾新术式、脾动脉介入栓塞、外科保脾手术等方式进行治疗。结果：96例接受保脾治疗的患者中，保脾成功93例，成功率为96．88％。内科保守治疗（18例）、外科保脾手术（12例）成功率均为100．00％；脾动脉介入栓塞治疗成功率为93．10％；射频辅助保脾手术成功率97．29％。院前综合指标积分≥5分可作为开放性保脾手术分诊的标准。结论：对脾破裂患者院前进行综合指标积分评估，正确分诊，可提高脾破裂患者保脾治疗成功率。Objetc ive：To analyze the clinical value of pre-hospital emergency treatment for preserving spleen in patients with splenic rupture.Methods：96 patients with splenic rupture for spleen preserving treatment were as the research objects, respectively by the inter-nal medicine conservative treatment,radiofrequency ablation of spleen surgery,a new type of splenic artery embolization,surgical operation of preserving spleen and other ways of treatment.Results：96 patients were received spleen preserving treatment.There was 93 cases with success for preserving spleen, the success rate was 96.88%.There was 18 cases with conservative treatment by internal medicine,12 cases with surgical operation,the success rate was 100%.the success rate by splenic artery embolization was 93.10%,the success rate by radio-frequency ablation assisted spleen preserving operation was 97.29%.Pre-hospital comprehensive index was equal to or more than 5 points can be used as the opening of spleen preserving surgery of triage criteria.Conclusion：The evaluation of comprehensive index for patients with plenic rupture and correct diagnosis,could improve the success rate for patients with spleen preserving treatment.

关 键 词：脾破裂 保脾治疗 院前急诊 成功率 

分 类 号：R657.6[医药卫生—外科学]