延迟性脾破裂24例诊治分析

Diagnosis and treatment of delayed rupture of spleen in 24 cases

目的探讨延迟性脾破裂的发病机理及其诊治方法。方法回顾性分析我们于1996年1月2005年12月收治的延迟性脾破裂24例的临床资料。全部病例均行脾切除手术治疗。其中，有2例儿童病人术中加行自体脾组织网膜内移植术。结果全组病人均治愈。平均住院日为13d。结论延迟性脾破裂时病人机体本身自限作用已降低，应首选手术治疗。提高对本病的认识、及时诊断可降低其发生率。

Objective To investigate the pathogenesis, diagnosis and treatment ot delayed rup ture of spleen. Methods The clinical data of 24 cases of delayed rupture of spleen were retrospectively studied. Spleneetomy was performed in all cases, of which two children had autologous spleen tissue implanted in the omenta. Results All patients were cured with the mean hospital duration of 13 days. Conclusion Operation is the first choice, of management for delayed rupture of spleen because of its decreased self-limited capacity of disease. Increased knowledge of the disease and timely diagnosis may decrease its incidence.