外伤性脾包膜下破裂、脾内血肿B超定期随访体会

PERIODIC EXAMINATION REPORTS FOR TRAUMATIC RUPTURE UNDER SPLENIC CAPSULA HEMATOMA BY ULTRASONOGRAPHY

报告外伤性脾包膜下破裂、脾内血肿１８例，男１３例，女５例，年龄１６～４４岁。１８例伤后均经Ｂ超证实为脾包膜下或其实质内有液性暗区，其中１１例液性暗区为多发性，６例为脾包膜下合并其实质内同时出现血肿，血肿最多为４个。脾包膜下最大血肿为６．０ｃｍ×４．１ｃｍ，脾实质内最大血肿为５．２ｃｍ×２．７ｃｍ。１８例中仅１例腹腔穿刺抽出血性液体，经手术探查为脾挫伤，保脾治愈，术后Ｂ超证实为脾内血肿。余１７例均制动休息、止血药等应用，非手术治愈。

Traunmatic rupture under splenic capsula, hematoma of 18 cases were reported, 13males and 5 females, aged from 16 to 44 years old. All the 18 cases were proved by ultrasonoography after the damage that there were liguid dark areas in the parenchyma or under the splenic capsula. The liguid dark areas of the 11 cases were multiple, those of the 6 cases were combination under splenic capsula, with hematomas in its parenchyma. Thhere were four hematomas at most. The maxiimum one under splenic capsula was 6. 0× 4. 1cm,while the maximum one in the splenic parenchyma was 5. 2×2. 7cm. The blood was taken out by abdominocentesis for only one case of the 18 cases,which was splenic coontusion by exploratory operation and cured without damaging the spleen. After the operateon, it was proved to be hematoma by ultrasonography. The remaining 17 cases were cured by forced rest, applying blood-stopped medicine without any Operations.