外伤性脾破裂86例治疗体会

Clinical Significance of 86 Cases Traumatic Spleen Breaks

目的:探讨外伤性脾破裂的临床特点,指导临床诊治和提高疗效。方法:对1993年6月至2003年6月收治的86例外伤性脾破裂病例的临床资料进行回顾性分析。结果:4例脾破裂患者因严重复合伤死亡外,82例患者痊愈出院。结论:遵循“抢救生命第一,保留脾脏第二”的原则,根据脾损伤伤情,分别施行脾修补术,部分脾切除术,全脾切除术,全脾切除术加自体脾片移植术,术中尽量保留器官,保留器官功能,不能保脾的伤者需行脾片移植术以保证术后病人的免疫功能(特别是儿童),而适当的保守疗法也是治疗脾外伤的一种安全方法。

Objective Explore the clinical characteristic of the traumatic spleen breaks, guide the clinical diagnosis. and improve curative effect. Methods Analyse the clinical materials that are about the 86 traumatic spleen breaks we diagnosed in the year June, 1993-June, 2003. Results 4 patients died of serious complex injuries, and the left 82 patients recovered. Conclusion Followling the principle of“Rescuing the life firstly and keeping the spleen secondly.”According to the damaged spleen, perform the renovated operation on the spleen, removal of part and all of the spleen, and the whole spleen removal mixed with auto genous splean and transplanting operation. During the operation, try our best to keep the organ, and its function. The patient who can＇t keep the spleen should do the transplanting operation to ensure their immune function after 0perating （especia lly childten）but proper conservative treatment is a kind of safe method to treat spleen traumatism.