交通事故致脾脏损伤的临床特点与处理

Clinical Feature and Management of Splenic Injury in Traffic Accident

作者对1961年1月～1991年2月因交通事故致脾脏损伤68例进行回顾分析。按最小二乘原理,经验公式Y=0.0259(X—1965)~2—1.2934预示脾脏损伤发生率将呈明显上升趋势。大多数脾脏损伤严重伴随高的休克发生率、多发伤和病死率。此外由于病情变化快,具有一定程度的隐匿性,易于出现延误诊治的情况。因此,在复苏及多发伤处理同时,应以积极剖腹探查为好,施行手术保脾较非手术更安全可靠。

Sixty eight cases of splenic injury by traffic accidents from Jan. 1961 through Feb. 1991 were reviewed. On the least square method, experimental formula Y = 0. 0529 (X—1965)~2-1. 2934 indicated that incidence of splenic injury was rising sharply. The majority of splenic injuries were severe, accompanied by higher incidence of shock, multiple trauma and mortality. In addition, there was concealment of rapid changes of the disease, and it was likely to delay diagnosis of both spleen injuries and multiple trauma. The study demonstrates it is better to do a celiotomy while resuscitation and management of multiple trauma are carried out. To preserve the spleen an operation is more secure than nonoperation.