迟发性脾破裂34例临床分析

目的探讨迟发性脾破裂的临床特点及治疗效果。方法对1996-2006年我院收治的34例迟发性脾破裂病例的临床资料进行回顾性分析。结果34例急诊患者均行脾切除术,33例痊愈出院,1例合并严重颅脑外伤,术后死于脑疝。结论迟发性脾破裂的特点是外伤后有一定间歇期,症状明显缓解致使部分患者麻痹大意,故其危险性比一般的脾破裂更大,死亡率较高。

Clinical Analysis of Delayed Rupture of Spleen in 34 Cases

Objective To study the clinical characteristic and therapeutic effect for DRS. Method The clinical data of 34 DRS patients treated in our hospital from 1996 to 2006 were analyzed. Result All the 34 DRS patients had emergent lienectomy, with 33 cases of recovery and 1 case of death of encephalon hernia with the syndrome of severe skull trauma. Conclusion DRS has intermittent period after trauma and the relief of symptom makes the patient ignore the risk. It is more dangerous than common rupture of spleen. Great attention must be paid on DRS because of its high death rate.