探讨急诊外科抢救胸腹部外伤致使延迟性脾破裂的临床效果  

Clinical Effect of Emergency Surgical Treatment of Delayed Splenic Rupture Caused by Thoracic and Abdominal Trauma

作　　者：李明 王磊[1] LI Ming;WANG Lei(Department of Emergency Surgery,Zaozhuang Municipal Hospital,Zaozhuang,Shandong Province,277100 China)

机构地区：[1]枣庄市立医院急诊外科,山东枣庄277100

出　　处：《系统医学》2024年第9期131-133,138,共4页Systems Medicine

摘　　要：目的分析对胸腹部外伤导致延迟性脾破裂的患者进行急诊外科抢救的临床效果。方法回顾性选取枣庄市立医院于2021年2月—2023年2月收治的86例胸腹部外伤导致延迟性脾破裂患者的临床资料,通过治疗方式的不同分常规组和研究组,每组43例。常规组、研究组分别采用手术方式和非手术方式治疗。比较两组抢救结果,包括创伤严重度、治疗情况、疼痛程度、并发症、治疗有效率等。结果两组患者治疗总有效率、创伤严重度对比,差异无统计学意义(P均>0.05)。研究组输血量为(2.04±0.85)U,少于常规组,住院时间为(20.82±1.76)d,长于常规组,差异有统计学意义(t=8.745、20.370,P均<0.05)。研究组并发症发生率为0.00,低于常规组的9.30%,差异有统计学意义(χ^(2)=4.195,P=0.040)。研究组疼痛程度评分低于常规组,差异有统计学意义(t=7.819,P<0.05)。结论为胸腹部外伤导致延迟性脾破裂患者使用非手术方式进行治疗,可以减轻患者疼痛度,减少并发症,疗效显著。Objective To analyze the clinical effect of emergency surgical rescue in patients with delayed splenic rupture caused by thoracic and abdominal trauma.Methods Clinical data of 86 patients with delayed splenic rupture caused by thoracic and abdominal trauma admitted to Zaozhuang Municipal Hospital from February 2021 to February 2023 were retrospectively selected.They were divided into conventional group and study group by different treatment methods,43 cases in each group.The conventional group and the study group were treated with surgical and non-surgical methods respectively.The rescue results of the two groups were compared,including the severity of trauma,treatment,pain,complications,and treatment efficiency.Results There was no significant difference in the total effective rate of treatment and the severity of trauma between the two groups(both P>0.05).The blood transfusion volume of the study group were(2.04±0.85)U,which was less than that of the conventional group,and hospitalization time was(20.82±1.76)d,which was longer than that of the conventional group,and the differences were statistically significant(t=8.745,20.370,both P<0.05).The incidence of complications in the study group was 0.00,which was lower than 9.30%in the conventional group,and the difference was statistically significant(χ^(2)=4.195,P=0.040).The pain degree score of the study group was lower than that of the conventional group,and the difference was statistically significant(t=7.819,P<0.05).Conclusion For the patients with delayed splenic rupture caused by thoracic and abdominal trauma,non-surgical treatment can reduce the pain and complications of the patients,with significant curative effect.

关 键 词：急诊外科 抢救 胸腹部外伤 延迟性脾破裂 

分 类 号：R657[医药卫生—外科学]