摘要
本文对98例外伤性脾破裂的诊断与治疗进行了回顾性分析。指出详细询问病史,仔细体检,多部位反复腹穿,必要的辅助检查是减少脾破裂漏诊或误诊的主要因素。在急诊处理中,立即建立有效的静脉通道,及时抗休克治疗,保持呼吸道通畅并充分给氧是降低早期死亡的重要措施。外伤性脾破裂的治疗主张"保命第一,保脾第二"的原则,不轻易切脾,特别是小儿,但也不能盲目保脾。文中还阐述了非手术治疗的条件,切脾的指征,脾修补术及部分脾切除术中的诸多制约因素。
Diagnosis and treatment of 98 cases with traumatic rupture of spleen were analysed retro- spectively in this paper.It is pointed out that detailed medical history-taking,careful physical examination, repeated abdominal paracentesis at multiple sites,and necessary accessory examinations are the major factors for avoiding missed diagnosis or misdiagnosis.During emergent treatment immediate establishment of effec- tive venous passageway,timely carrying out antishock therapy,maintaining respiratory tract unobstructed, and supply of sufficient oxygen are improtant measures to he taken to reduce death in the early stage.The author holds that in treatment of traumatic rupture of spleen the principle of'life-saving first,spleen-pre- sevring second'should be observed.The spleen should not be resected rashly,especially in children,while it should not be reserved without indications.It is also expounded in this paper the conditions of non-opera- tive treatment,indications of splenectomy,and restrictive factors for restorative operation and partial resec- tion of the spleen.
出处
《中华肝胆外科杂志》
CAS
CSCD
1998年第1期37-39,共3页
Chinese Journal of Hepatobiliary Surgery
