外伤性脾破裂65例诊治体会

65 Cases of Traumatic Rupture of Diagnosis and Treatment

目的:探讨外伤性脾破裂诊断和治疗。方法:分析65例外伤性脾破裂的诊断与治疗。结果:65例结合临床及辅助检查均明确诊断,5例经非手术治疗痊愈,4例行脾修补术.56例行脾切除。结论:外伤性脾破裂诊断较易.腹腔穿刺、B超等能提高脾破裂诊断率,外科手术治疗是主要的治疗方法。

Objective ： Explore the traumatic rupture of diagnosis and treatment. Methods： Analysis of 65 cases of traumatic rupture of the diagnosis and treatment. Results： 65 patients with clinical examinations and have a clear diagnosis ,5 patients with non-surgical treatment cured, 4 spleen routine repair, routine splenectomy 56. Conclusions： Traumatic rupture more easily diagnosed, abdominal puncture, B extra fine can improve the diagnosis rate of rupture. The main treatment is surgical treatment.