闭合性脾损伤非手术治疗69例临床观察

Clinical observation of the non operative treatment of closed splenic injury in 69 cases

目的：分析闭合性脾损伤非手术治疗的效果。方法：收治闭合性脾损伤患者69 例，对患者采取非手术治疗，分析其临床效果。结果：伤后1～4 周复查，血肿没有扩大18 例，血肿缩小51 例。随访3 个月以上，69 例患者脾破裂完全愈合，4 例患者中转手术治愈，无一例患者死亡。结论：对闭合性脾损伤采取非手术治疗具有安全、有效性，可是一定要严格掌握相关适应证，同时对病情变化给予密切监测，如果发生出血或者血流动力学不稳定应该及时采取手术治疗。

Objective:To analyze the effect of non operative treatment of closed splenic injury.Methods:69 patients with closedsplenic injury were selected.The patients were given non operative treatment.The clinical effect was analyzed.Results:1 to 4 weeksafter the injury,the hematoma did not expand in 18 cases,the hematoma was reduced in 51 cases.Followed up for more than 3months,69 patients with splenic rupture were completely healed,4 patients were transfered to operation and cured,no 1 patient wasdied.Conclusion:Using non operative treatment in closed splenic injury is safe and effective.However,we must strictly grasp therelated indications,while closely monitor the condition changes,if the patients have bleeding or hemodynamic instability thatshould be timely given operation treatment.