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64例脾破裂非手术治疗体会
引用本文:李培亮,仝麟龙,李红普. 64例脾破裂非手术治疗体会[J]. 河南外科学杂志, 2007, 13(2): 7-8
作者姓名:李培亮  仝麟龙  李红普
作者单位:郑州市第五人民医院普外科,450003;郑州市第五人民医院普外科,450003;郑州市第五人民医院普外科,450003
摘    要:目的探讨脾破裂的非手术治疗。方法对64例非手术治疗病例进行回顾性分析。结果64例脾破裂全部采用非手术治疗,62例治愈,治愈率96.9%;2例死亡,死亡3.1%。结论脾破裂在严格掌握适应证的原则下,可以采用非手术治疗,积极治疗的同时,密切观察病人的生命体征,病情变化、有手术指征时,应果断手术治疗。

关 键 词:脾破裂  非手术治疗
文章编号:23870760
修稿时间:2006-12-20

Analysis of 64 cases of non- operative treatment of splenic rupture
LI Peiliang,TONG Linlong,LI Hongpu. Analysis of 64 cases of non- operative treatment of splenic rupture[J]. Henan JOurnal of Surgery, 2007, 13(2): 7-8
Authors:LI Peiliang  TONG Linlong  LI Hongpu
Abstract:Objective To explore the effects of non-operative treatment of splenic rupture.Methods The clinical data of 64 patients with non-operative management from June 1994 to July 2004 were analyzed retrospectively.Results Of the 64 patients treated by nonopetative,two deid non-operation and 62 patients were cured.Conclusion Insplenic rtauma,strictly grasping the indication of non-operative treatment can greatly improve the cure rate.Selecting non-operative method is safe and effective.But closed observation should be taken to decide the operation when unstable hemodynamic or delayed bleeding.
Keywords:Splenic rupture  Non-operative treatment
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