中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
14期
9-11
,共3页
脾破裂%保脾治疗%院前急诊%成功率
脾破裂%保脾治療%院前急診%成功率
비파렬%보비치료%원전급진%성공솔
Spleen rupture%Spleen preserving treatment%Pre-hospital emergency%Success rate
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。
目的：分析院前急診對脾破裂保脾治療的臨床價值。方法：選取96例脾破裂保脾治療的患者為研究對象，分彆採用內科保守治療、射頻消融輔助下的保脾新術式、脾動脈介入栓塞、外科保脾手術等方式進行治療。結果：96例接受保脾治療的患者中，保脾成功93例，成功率為96．88％。內科保守治療（18例）、外科保脾手術（12例）成功率均為100．00％；脾動脈介入栓塞治療成功率為93．10％；射頻輔助保脾手術成功率97．29％。院前綜閤指標積分≥5分可作為開放性保脾手術分診的標準。結論：對脾破裂患者院前進行綜閤指標積分評估，正確分診，可提高脾破裂患者保脾治療成功率。
목적：분석원전급진대비파렬보비치료적림상개치。방법：선취96례비파렬보비치료적환자위연구대상，분별채용내과보수치료、사빈소융보조하적보비신술식、비동맥개입전새、외과보비수술등방식진행치료。결과：96례접수보비치료적환자중，보비성공93례，성공솔위96．88％。내과보수치료（18례）、외과보비수술（12례）성공솔균위100．00％；비동맥개입전새치료성공솔위93．10％；사빈보조보비수술성공솔97．29％。원전종합지표적분≥5분가작위개방성보비수술분진적표준。결론：대비파렬환자원전진행종합지표적분평고，정학분진，가제고비파렬환자보비치료성공솔。
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.
