延迟性脾破裂13例诊治分析

目的探讨延迟性脾破裂的发病机理、临床特点及诊治经验。方法对1996年1月—2006年1月收治的13例延迟性脾破裂的诊断与治疗进行回顾性分析,其中车祸7例,斗殴2例,坠落伤3例,重物压伤1例,均为腹部闭合性损伤。结果13例延迟性脾破裂患者均行手术治疗,12例痊愈出院,1例死亡。结论提高对该病的认识,通过仔细地询问病史、细致地体格检查、密切地观察病情变化结合腹腔穿刺及CT检查,是减少误诊的主要措施,及时手术治疗的关键,贻误手术时机是死亡的主要原因。

Objective To approach the methods of diagnosis and treatment in delayed rupture of spleen. Methods Retrospective analyse was performed to the data of diagnosis and treatment for 13 cases with delayed rupture of spleen who had been treated in our hospital last 10 years. Results Operations were performed to all of the 13 cases, 12 cases were cured, and 1 case died. Conclusion The misdiagnosis rate would be lower in delayed rupture of spleen, if more attention be given to the history, and a repeated ultrasonic examination, abdominal puncture and CT examination be performed to these patients. Operation in time is the key to cure the disease, and delay of operation opportunity is the main causes of death.