摘要
作者近6年来对152例外伤性脾破裂病人分别以脾切除、脾部分切除、脾破裂缝合修补、自体脾组织移植手术进行治疗,并作免疫功能观察及临床随访。自体脾组织移植者还行同位素铟(^(111)In)扫描检查。结果表明,各保脾手术组在术后免疫功能恢复方面均明显优于单纯切脾组,并无较严重的手术合并症发生,对预防凶险的脾切除术后感染(OPSI)具有重要的临床意义。认为各种保脾手术应是今后治疗外伤性脾破裂的主要方法。
One hundred and fifty—two cases of traumatized spleen were divided into 4 groups, (1) total splenectomy, (2) splenic autotransplantation, (3) suture repair, and (4) partial splenectomy. Each group, after operation, wasevaluated with measurement of immunology quota and clinical observation. ^(111)In scanning was used to ascertain the recovery of the splenic function in the splenic autotransplantation, Each group of splenic salvage was better than the group of total splenectomy in preserving the immunology function of the body. The results showed an important significance for preventing overwhelming the post—splenectomy infcetion (OPSI).
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1993年第4期222-223,共2页
Chinese Journal of Trauma
关键词
创伤
损伤
脾损伤
脾保留
保守疗法
Wounds and injuries Spleen injuries Spleen salvage Operation
