脾创伤的救治

Salvage and Treatment of Spleen Injury

目的:总结脾创伤的诊断和治疗方法。方法:对127例脾脏外伤的诊断和治疗进行回顾性分析。结果:手术治愈104例,非手术治愈20例,死亡3例。结论:简要询问病史、全面而有重点的体格检查、诊断性腹腔穿刺及腹部B超检查是诊断脾创伤最主要的手段;合理选择治疗方法,可提高脾创伤后脾功能保留的效果。

Objective: To sum up the method of diagnosis and treatment of spleen injury. Method: Diagnosis and treatment of 127 patients with spleen injury was analyzed retrospectively. Result: 20 cases were cured by non-operational therapy,104 cases were cured by operational and 3 cases died. Conclusion: The principal measures of patients with spleen injury include brief inquiry of medical history and full physical inspection, as well as diagnostic abdominal paracentesis and B ultrasonic examination; rational operative method and non-operative therapy can increase effectiveness of patients with spleen injury.