| 成人外伤性脾破裂的选择性非手术治疗 |
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| 引用本文： | 包阳,倪庆,李强,陈梅生,袁小东,戴勇. 成人外伤性脾破裂的选择性非手术治疗[J]. 临床医学, 2007, 27(1): 6-7 |
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| 作者姓名： | 包阳 倪庆 李强 陈梅生 袁小东 戴勇 |
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| 作者单位： | 江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001;江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001;江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001;江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001;江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001;江苏省扬州市第一人民医院,东南大学医学院附属扬州医院普外科,扬州,225001 |
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| 摘 要： | 目的总结成人外伤性脾破裂的选择性非手术治疗经验。方法回顾性分析45例成人外伤性脾破裂的非手术治疗临床资料,探讨非手术治疗的病例选择、治疗方法和注意事项。结果45例外伤性脾破裂的非手术治疗中,成功43例(成功率95.6%);继续出血1例,并发脾脓肿1例,均行脾切除。结论Ⅰ~Ⅱ级外伤性脾破裂可在严密观察下行选择性非手术治疗。
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| 关 键 词： | 脾外伤 脾破裂 非手术治疗 |
| 修稿时间： | 2006-04-04 |
Selective nonoperative management of traumatic splenic rupture in adults |
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| BAO Yang,NI Qing,LI Qiang,CHEN Meisheng,YUAN Xiaodong,DAI Yong. Selective nonoperative management of traumatic splenic rupture in adults[J]. Clinical Medicine, 2007, 27(1): 6-7 |
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| Authors: | BAO Yang NI Qing LI Qiang CHEN Meisheng YUAN Xiaodong DAI Yong |
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| Abstract: | Objective To summarize the experience in selective nonoperative management of traumatic spleen rupture in adults.Methods Forty-five cases of traumatic splenic rupture in adults were analyzed retrospectively.Indications and keys of nonoperative management of traumatic splenic rupture were discussed.Results Forty-three of 45 cases were cured by nonoperative management and 2 cases were converted to splenectomy.Conclusion Nonopeative management should be attempted in lower grades(grade I and grade II) patients with traumatic splenic rupture. |
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| Keywords: | Splenic trauma Splenic rupture Nonoperative management |
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