创伤性脾破裂非手术治疗探讨 |
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引用本文: | 凌伟华,肖接承,汪智卿,丁礼,包龙.创伤性脾破裂非手术治疗探讨[J].中国航天工业医药,2008(10):31-32. |
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作者姓名: | 凌伟华 肖接承 汪智卿 丁礼 包龙 |
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作者单位: | 苏州大学附一院急诊外科,江苏省苏州市215006 |
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摘 要: | 目的探讨闭合性腹部外伤致脾破裂非于术治疗的可行性。方法对我院2003-2006年间收治的27例外伤性脾破裂患者的临床资料进行回顾性分析。结果8例患者行非手术治疗,占同期脾破裂患者的29.6%。其中1例非手术治疗失败后急症行脾切除+小肠破裂修补手术。7例非手术治疗患者均痊愈出院,平均住院时间为12天,出院随访3个月均恢复良好。结论选择合适的脾破裂患者行非手术治疗,是安全、有效的。
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关 键 词: | 脾破裂 非手术治疗 临床分析 治疗方法 |
Experience in nonoperative management of adult splenic injury |
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Institution: | Ling Weihua, Xiao Jiecheng, Wang Zhiqing, et al(Department of Emergent Surgery ,First Hospital Affliated to Soochow University, Suzhou 215006) |
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Abstract: | Objective To summarize the experience in nonoperative management of adult blunt splenic injury. Methods Twenty-seven cases of adult splenic injury having been managed operatively or nonoperatively from 2003 to 2006 in a monitored setting were analysed. Results Eight patients were treated by nonoperative management amounting to 29.6% (8/27) in this period, nonsurgical therapy failed in one patient.This patient was caused with part small intestine excision and splenic excision in emergent operation. Seven patients underwent nonoperation were followed up for 3 months and had no complications noted. The mean length of hospitalization was 12 days. Conclusion Selective nonoperative management in adult patients with splenic injury can be done safely in a monitored setting. |
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Keywords: | Rupture of spleen Nosurgical therapy |
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