摘要
目的探讨腹部闭合性损伤脾破裂的非手术治疗的适应证及经验。方法对1996年2月～2003年6月采用非手术治疗的37例腹部闭合性损伤脾破裂的临床资料进行回顾性分析。结果37例均痊愈出院。其中非手术治疗成功34例(91.9%),住院时间为12～23d;另3例因在非手术治疗期间由于延迟性出血引起血液动力学不稳定而中转手术治愈。结论腹部闭合性损伤脾破裂选择性进行非手术治疗是可行的,但必须严格掌握适应证和严密监测伤情的变化如在非手术治疗期间血液动力学不稳定或发生延迟性出血者应及时进行手术治疗。
Objective To study the indication and experience of the nonoperative management in splenic rupture of closed abdominal injury.Methods From February 1996 to June 2003,37 cases with splenic rupture of closed abdominal injury were analyzed retrospectively in the clinical data. Results Thirty seven cases were cured. Among them,34 cases(91 9%) were cured by nonoperative management,3 cases were cured by operation the because of unstable hemodynamics or delayed hemorrhage of patients during the period of nonoperative management.Conclusion The nonoperative management in splenic rupture of closed abdominal injury is practicable,but the indication must be strictly grasped and the change of traumatic status must be closely observed. The operation should be promptly performed once the patient′s hemodynamics is unstable or delayed hemorrhage occurs during the period of nonoperative management.
出处
《岭南现代临床外科》
2004年第2期107-109,共3页
Lingnan Modern Clinics in Surgery
