国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
12期
1442-1444
,共3页
脾破裂%诊断%非手术治疗
脾破裂%診斷%非手術治療
비파렬%진단%비수술치료
Splenic rupture%Diagnosis%Nonoperative management
目的 总结脾破裂的诊断和治疗经验.方法 回顾性分析2006年1月-2009年6月间收治的138例脾破裂病例的临床资料.结果 138例脾破裂患者中Ⅰ级20例,Ⅱ级59例,Ⅲ级48例,Ⅳ级11例.非手术治疗55例,均治愈;手术治疗83例,治愈78例.死亡5例;56例行脾切除.其中32例同时行脾组织自体移植,保脾手术27例.结论 脾破裂诊断以全腹B超和腹腔穿刺为首选检查,依脾损伤类型及病人状况选择恰当治疗方法,多学科的协作处理可扩大非手术治疗的应用,提高非手术治疗成功率.
目的 總結脾破裂的診斷和治療經驗.方法 迴顧性分析2006年1月-2009年6月間收治的138例脾破裂病例的臨床資料.結果 138例脾破裂患者中Ⅰ級20例,Ⅱ級59例,Ⅲ級48例,Ⅳ級11例.非手術治療55例,均治愈;手術治療83例,治愈78例.死亡5例;56例行脾切除.其中32例同時行脾組織自體移植,保脾手術27例.結論 脾破裂診斷以全腹B超和腹腔穿刺為首選檢查,依脾損傷類型及病人狀況選擇恰噹治療方法,多學科的協作處理可擴大非手術治療的應用,提高非手術治療成功率.
목적 총결비파렬적진단화치료경험.방법 회고성분석2006년1월-2009년6월간수치적138례비파렬병례적림상자료.결과 138례비파렬환자중Ⅰ급20례,Ⅱ급59례,Ⅲ급48례,Ⅳ급11례.비수술치료55례,균치유;수술치료83례,치유78례.사망5례;56례행비절제.기중32례동시행비조직자체이식,보비수술27례.결론 비파렬진단이전복B초화복강천자위수선검사,의비손상류형급병인상황선택흡당치료방법,다학과적협작처리가확대비수술치료적응용,제고비수술치료성공솔.
Objective To summarize the experience in the diagnosis and treatment of splenic rupture.Methods The clinical data of 138 patients with splenic rupture from January 2006 to June 2009 were retrospectively studied.Results Among the 138 cases,there were 20 cases of stage Ⅰ,59 cases of stage Ⅱ,48 cases of stage Ⅲ and 11 cases of stage Ⅳ.55 cases received non-operative treatment,the cure rate was 100%.83 cases received operative therapy,78 cases were cured,5 cases died.Splenectomy was inevitable in 56 patients and splenic tissue autotransplantation was added as an alternative approach in 32.27 cases who received spleen reserving operation.Conclusions Focused B ultrasound and diagnostic abdominocentesis are the initial methods for diagnosis of splenic rupture,and choose proper treatment methods according to the classification of the injury and the condition of patients.The cooperation of many specialities can enlarge the application of nonoperative management and increase curative rate of nonoperative management of splenic rupture.
