医源性脾损伤的临床分析

Prophylaxis and treatment of iatrogenic splenic injury

目的:分析医源性脾损伤的原因,提出防范措施。方法:回顾分析13例与手术有关的脾损伤和文献报告的病例。结果:脾损伤与胃癌根治术、胃及十二指肠手术、结肠造痿术等有关,纤维肠镜和心肺复苏时也可引起脾损伤。结论:改进手术操作方法,有望降低医源性脾损伤的发病率。

Objective：To analyse the causes of iatrogenic splenic injury, put forward preventitive measure. Meth- ods：The data of 13 patients in our hospital form 2004-2011 were retrospectively analysed and literatures were re- viewed. Results：The causes of iatrogenic splenic injury included undergoing an operation of gastric carcinoma ang duodenal ulcer. Colonoscopy and cardiopulmonary resuscitation were also risk factors. Majority of splenic injury demonstrates well contained splenic laceration ang subcapsular bematoma. Conclusions：By improving operative ma- nipulation, the morbidity of iatrogenic splenic injury can be expected to be reduced.