首页 | 本学科首页   官方微博 | 高级检索  
检索        

外伤性延迟性脾破裂临床实例分析
引用本文:马兴龙.外伤性延迟性脾破裂临床实例分析[J].大连医科大学学报,2007,29(1):51-52.
作者姓名:马兴龙
作者单位:大连医科大学,第二临床学院,急诊科,辽宁,大连,116027
摘    要:目的]探讨外伤性延迟性脾破裂的发病规律、临床特点、诊断和治疗方法。方法]结合国内外资料及本组12例病例进行回顾分析。结果]明确诊断10例,误诊为肝破裂1例,脾肿瘤1例。12例均手术治疗。行脾切除术2例,脾切除加自体脾组织网膜内移植术9例,脾缝合修补加脾动脉结扎1例。12例均治愈。结论]本病由于腹腔内出血与受伤时间间隔长,容易误诊。诊断除依靠病史、临床表现外,应及时进行腹腔穿刺、B超及CT检查。治疗以脾切除为主,可根据病情、脾破裂的程度以及是否有合并伤等情况采取保脾手术。

关 键 词:延迟性脾破裂  诊断  治疗  脾切除
文章编号:1671-7295(2007)01-0051-02
修稿时间:2006年7月11日

Clinical analysis for traumatic delayed rupture of spleen
MA Xing-long.Clinical analysis for traumatic delayed rupture of spleen[J].Journal of Dalian Medical University,2007,29(1):51-52.
Authors:MA Xing-long
Abstract:Objective]To study the diagnosis and treatment of traumatic delayed rupture of spleen.Methods] Clinical data of 12 patients with traumatic delayed rupture of spleen were retrospectively analysed.Results] Preoperative diagnosis of 10 patients were clear-out,misdiagnosis was as rupture of liver for 1 patient,as Spleen Tumor for 1 patient.12 cases all underwent operation.Of the 12 patients who had surgery,2 patients had splenectomy,9 cases had splenectomy pulsing self splenosis into omentum;1 patient had splen sutured and splenic arter ligated.12 patients were all cured.Conclusion] The disease is easily to misdiagnosis owing to an long time lag between the injury and intraabdominal hemorhage.Besides the case history and clinical situation,peritoneal puncture,sonography,CT were needed to make a diagnosis.Splenectomy is primary way for treatment,but operative preservation of the spleen should be considered according to the state of an illness,degree of the rupture of spleen and associated injury and so on.
Keywords:delayed rupture of spleen  diagnosis  treatment  splenectomy
本文献已被 CNKI 维普 万方数据 等数据库收录!
点击此处可从《大连医科大学学报》浏览原始摘要信息
点击此处可从《大连医科大学学报》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号