| 迟发性脾破裂32例诊治分析 |
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| 引用本文： | 方河清,刘颖斌,许斌,王建伟,邓贵龙,李海军,高顺良,徐斌,彭承宏,吴育连,彭淑牖.迟发性脾破裂32例诊治分析[J].中华创伤杂志,2003,19(7):395-397. |
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| 作者姓名： | 方河清 刘颖斌 许斌 王建伟 邓贵龙 李海军 高顺良 徐斌 彭承宏 吴育连 彭淑牖 |
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| 作者单位： | 310009,杭州,浙江大学医学院第二附属医院外科 |
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| 摘 要： | 目的 探讨迟发性脾破裂(DRS)的诊断和治疗方法。方法 对1978-1999年间收治的32例DRS进行回顾性分析，比较CT、B超、腹腔灌洗等检查手段在DRS诊断中的作用及不同治疗方法的效果。结果 26例行脾切除术，其中1例因合并脑损伤于脾切术后4d死亡；6例严密观察下保守治疗出院，平均住院18．5d。结论 联合腹腔灌洗可提高腹腔穿刺的阳性率。B超是诊断DRS和对保守治疗患者进行严密观察的重要手段。
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| 关 键 词： | 迟发性脾破裂 诊断 治疗 CT B超 腹腔灌洗 脾切除术 |
| 修稿时间： | 2002年10月28 |
Diagnosis and treatment of delayed rupture of the spleen: analysis of 32 cases |
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| FANG He-qing,LIU Ying-bin,XU Bin,et al..Diagnosis and treatment of delayed rupture of the spleen: analysis of 32 cases[J].Chinese Journal of Traumatology,2003,19(7):395-397. |
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| Authors: | FANG He-qing LIU Ying-bin XU Bin |
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| Institution: | FANG He-qing,LIU Ying-bin,XU Bin,et al. Department of Surgery,Second Affiliated Hospital,Medical Collage of Zhejiang University,Hangzhou 310009,China |
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| Abstract: | Objective To explore effective methods of diagnosis and treatment for delayed rupture of the spleen (DRS) through retrospective analysis of 32 cases. Methods A retrospective study was done in 32 cases with DRS. The effects of CT, ultrasound and diagnostic peritoneal lavage on diagnosis of DRS was observed and compared. Results Splenectomy was performed in 26 cases, among which one died four days after splenectomy because of complicated brain injury and six given conservative treatment under continuous monitoring discharged. The mean hospitalization duration was 18.5 days. Conclusions Diagnostic peritoneal lavage can improve the positive rate of peritoneal puncture. Ultrasound is an important method for diagnosing DRS and closely monitoring the patients receiving conservative treatment. |
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| Keywords: | Splenic rupture Punctures Tomography X-ray computered Ultrasonography |
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