创伤性脾破裂非手术治疗指征的探讨(附36例报告)

Indications for non-surgical management of traumatic splenic rupture: report of 36 cases

目的探讨创伤性脾破裂非手术治疗的指征。方法在暨南大学附属第一医院于2002年1月至2008年1月选择36例创伤性脾破裂患者进行非手术治疗。结果选择的36例开放性及闭合性脾破裂患者,治疗成功32例(88.89%),4例中转手术,无死亡病例。全部随访1年到5年未见迟发性出血病例。结论血液动力学指标是选择非手术治疗非常重要的参考条件,同时还要考虑脾脏损伤的程度、年龄、治疗条件等因素。

Objective To investigate the indications for non-surgical management of traumatic splenic rupture. Methods From Jan. 2002 to Jan. 2008, 36 patients with traumatic splenic rupture underwent non-surgical management in the First Affiliated Hospital of Jinan University. Results Of the 36 cases, 32 were successfully managed without surgical interventions, and 4 converted to open surgery. No death occurred in these patients, nor was delayed splenic rupture identified 1 to 5 years after the treatment. Conclusion Hemodynamically index is an important reference to select the patients, and the degree of splenic rupture, the patient＇s age and conditions of the hospital should be considered.