延迟性脾破裂60例诊治体会

Diagnosis and Treatment of 60 Cases of Delayed Splenic Rupture

目的探讨延迟性脾破裂的诊断和治疗体会。方法回顾南阳市油田总医院自2005年8月—2010年8月收治的60例延迟性脾破裂的诊断和治疗情况。结果 60例患者大多具有典型的依次为腹部外伤,轻度腹痛,腹痛缓解,腹痛加重,失血性休克的临床特点,结合X线及B超等辅助检查均于术前明确诊断,均经手术治疗后痊愈。结论延迟性脾破裂易误诊,掌握其发生机制和临床特点快速确诊,是提高迟发性脾破裂疗效的关键。

Objective To investigate the diagnosis and treatment of delayed splenic rupture.Methods In our hospital from August 2005~August 2010 admitted 60 cases of delayed rupture of spleen were done the diagnosis and therapy.Results Totally 60 patients were mostly typical abdominal trauma,mild abdominal pain,reliefed abdominal pain,abdominal pain increased,the clinical features of hemorrhagic shock,combined with X ray and laboratory examinations were B ultrasonic diagnosis before surgery,were treated by surgery and cured.Conclusion The misdiagnosis of delayed rupture of spleen,master its mechanism and clinical characteristics of rapid diagnosis is the key to enhance the efficacy of delayed rupture.