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外伤性脾破裂300例诊治分析

Diagnosis and treatment analysis of traumatic spleen rupture in 300 cases
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摘要 目的:总结基层医院外伤性脾破裂的诊治经验,探讨手术方法及技巧。方法:收治外伤性脾破裂患者300例,回顾性分析其临床资料。结果:非手术治疗13例,治愈率66.7%;手术治疗287例,治愈率96.4%。结论:在基层医院较差的条件下行保脾治疗要谨慎,对于不能保脾的患者,主张行脾切除+自体脾组织移植术。 Objective:To summarize the diagnosis and treatment experience of traumatic spleen rupture in primary hospital,to explore the surgical methods and skills.Methods:300 patients with traumatic spleen rupture were selected.The clinical data were retrospectively analyzed.Results:13 cases had non-surgical treatment,the cure rate was 66.7%.287 cases had surgical treatment, the cure rate was 96.4%.Conclusion:In the poor conditions of primary hospital,spleen-preserving treatment in traumatic spleen rupture should be cautious.For the patients cannot spleen-preserving,we advocate for the spleen resection plus autologous spleen tissue transplantation.
出处 《中国社区医师》 2015年第31期61-61,63,共2页 Chinese Community Doctors
关键词 基层 脾破裂 切除 移植 Primary Spleen rupture Resection Transplantation
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参考文献1

  • 1方先业等编著.腹部外科手术技巧[M]. 人民军医出版社, 2003

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