儿童闭合性脾损伤的保守治疗

CONSERVATIVE MANAGEMENT OF CLOSED SPLEEN INJURY IN CHILDREN

目的提高儿童闭合性脾损伤诊断和保守治疗水平。方法回顾性分析我院急诊科近年来收治的25例儿童闭合性脾损伤的诊治情况,总结和分析临床特点。结果儿童闭合性脾损伤保守治疗成功22例,手术治疗3例,所有患儿均痊愈出院,无并发症和死亡发生。结论根据损伤情况儿童脾损伤主要采用保守治疗,但必须密切观察病情变化,以便及时采取措施进行手术治疗。

Objective To elevate the level of diagnosis and conservative management for dosed splenic injuries in children. Methods The clinical data of 25 eases that had closed spleen injuries were analyzed, summarized and assessed retrospectively. Results 22 patients of them underwent conservative management,3 of them could not be maintained stably and were finally carried out splenectomy. All children with splenic injuries were discharged from hospital after recovery, had no complication and death. Conclusion Closed splenic injuries in children are suggested to take mainly conservative measures ff there is satisfactory hemedynamie stability. Operative treatment ought to be timely given when general conditions take obviously a turn for the worsen.