外伤性脾破裂73例诊治体会

The diagnosis and treatment of 73 cases of splenic traumatic rupture

目的探讨外伤性脾破裂早期诊断及治疗方法,提高外伤性脾破裂的诊治水平。方法对我院2004年7月至2010年1月收治的73例外伤性脾破裂患者的临床资料进行分析与讨论。结果本组患者,根据外伤病史、体格检查、辅助资料等检查,确诊率93.1%。非手术治疗9例,手术治疗63例,1例死亡。结论早期确诊是抢救脾破裂患者的关键,而且在确保伤者生命安全的前提下,应尽可能保留脾脏,以提高疗效,提高预后,减少病死率。

Objective To explore the early diagnosis and therapeutic method of splenic traumatic rupture ,and improve the diagnosis.Methods The clinical data of 73 cases of splenic traumatic rupture were analyzed and discussed. Results The patients were diagnosed by trauma history ,physical examination and useful contact information .The rate of clinical diagnosis was 93.1%.63 cases were operation treatment,9 cases were not operation treatment,and one case died. Conclusion Early diagnosed is the key of rescue the patients of splenic traumatic rupture. We suggest that spleen should be keeped for improve the effect, improve prognosis and reduce mortality while ensuring life security.