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延迟性脾破裂的诊断和治疗
引用本文:江华山,唐仲文,朱明.延迟性脾破裂的诊断和治疗[J].腹部外科,2009,22(2):94-95.
作者姓名:江华山  唐仲文  朱明
作者单位:1. 宜宾市第二人民医院普外科,四川,644000
2. 屏山县人民医院外科
摘    要:目的 探讨延迟性脾破裂(delayed rupture of spleen,DRS)的诊断与治疗,以提高对DRS的认识,避免误诊、误治.方法 回顾性分析我院自1997年1月至2007年12月收治的21例DRS的临床资料.结果 本组有20例接受了外科手术治疗,其中行脾切除术14例,行脾脏部分切除术6例.本组除1例(4.8 %)因失血性休克而死亡,后经尸检解剖证实为脾破裂外,均已完全康复.结论 增强对的DRS认识,掌握其临床特点,做到早期诊断和及时的外科手术治疗,对提高DRS的治愈率,减少误诊、误治十分重要.

关 键 词:脾破裂  诊断  治疗  外科手术

Diagnosis and treatment of delayed rupture of spleen
JIANG Hua-shan,TANG Zhong-wen,ZHU Ming.Diagnosis and treatment of delayed rupture of spleen[J].Journal of Abdominal Surgery,2009,22(2):94-95.
Authors:JIANG Hua-shan  TANG Zhong-wen  ZHU Ming
Institution:JIANG Hua-shan,TANG Zhong-wen,ZHU Ming.Department of General Surgery,The Second People's Hospital of Yibin City,Yibin 644000,China
Abstract:Objective To explore the diagnosis and therapy of delayed rupture of spleen(DRS),improve us better understand DRS,and avoid misdiagnosis and incorrect treatment.Methods The clinical data of 21 cases with DRS from January 1997 to December 2007 in our hospital were analyzed retrospectively.Results Among the 21 cases of DRS,there were 20 patients undergoing surgical operations,including 14 cases of splenectomy and 6 cases of partial splenectomy,and then,all these patients had recovered.The mortality was 4.8 %(...
Keywords:Splenic rupture  Diagnosis  Therapy  Surgical procedures operative  
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