延迟性脾破裂的诊断和治疗

Study on diagnosis and treatment of delayed splenic rupture

目的探讨延迟性脾破裂(DRS)的诊断和治疗。方法回顾性分析1995年1月至2010年12月所收治的21例DRS病人的临床资料。结果 21例DRS病人2,0例痊愈,1例因并发胸腔积液死亡,治疗成功率95%,近期随访无并发症。结论在DRS的诊治过程中,应尽可能明确诊断,密切观察,正确地把握手术时机,采取适合的手术方法进行治疗。

Objective To explore the diagnosis and treatment of delayed splenic rupture （DRS）. Methods The clinical data of 21 cases of DRS from January 1995 to December 2010 in Tinglin Hospital were retrospectively analyzed. Results Among 21 cases of DRS, 20 cases were cured after treatment, 1 case died of pleural effusion, and successful cure rate was 95%. There was no complication occurred in these patients during recent follow - up. Conclusion Definitive diagnosis and close observation are keys for diagnosis and treatment of DRS, and they are equally important for performing right operation at right time.