儿童延迟性脾破裂7例临床分析

Clinical analysis on 7 cases of delayed splenic rupture in children

目的探讨儿童延迟性脾破裂的诊疗特点。方法对近5年来我院收治的7例儿童延迟性脾破裂的诊断和治疗进行回顾性分析。结果 7例中4例行脾切除术,其中3例行自体脾移植,3例行脾修补术,术后未发生暴发性感染,均痊愈。结论儿童延迟性脾破裂容易误诊,应掌握其发生机理,提高对本病的认识和警惕性。切除脾脏后如术中患儿情况许可,可行自体脾脏游离移植术。

Objective To explore the diagnosis and surgical treatment of delayed splenic rupture in children. Methods 7 children who suffered from blunt abdominal trauma, their splenic rupture occurred more than 48 hours after the admission. All of them that had been treated with operations were retrospectively studied since 2006. Results In all 7 patients, all were follow-up, 4 out of the 7 patients required splenectomy. 3 un- derwent splenorrhaphy. There was no overwhelming postsplenectomy infection. All recovered uneventfully. Conclusion Delayed diagnosis is common in delayed rupture of spleen. High index of suspicion and imaging studies are necessary in reducing the mortality. Autologous splecn transplantation could carry out if children who had received splenectomy could tolerate.