24 cases of delayed diagnosis and treatment of splenic rupture.docVIP

 PAGE \* MERGEFORMAT 7 24 cases of delayed diagnosis and treatment of splenic rupture Of: Du Jinlong, Cao Zhimin, Zhang Guoliang [Abstract] A retrospective analysis of 24 cases of delayed rupture of the clinical data, 23 patients received a full recovery after surgical treatment, including splenectomy in 16 cases, partial resection of the spleen in 7 cases, 1 case of death due to hemorrhagic shock. Early diagnosis and timely surgical treatment can improve the cure rate of delayed rupture of spleen. [Keywords:] spleen; surgery Delayed splenic rupture (delayed rupture of spleen, DRS) is a traumatic rupture of a special type, accounting for about 13% of the rupture [1]. In our hospital from January 1998 ~ December 2009 were treated DRS 24 cases are as follows. Clinical data 1 General Information of this group of 24 cases, male 18 cases, female 6; aged 12 to 70 years old, average 39.2 years old. The causes of injury: 14 cases of road traffic injuries, falls injury in 6 cases, 4 cases of blunt injured; are closed abdominal injury. injury time after the rupture of the symptoms of more than 48 hours. which 2 to 3 days in 4 cases, 4 to 7 days in 5 cases, 8 to 14 days in 9 cases, 30 to 40 days in 5 cases, 57 days in 1 case. Merge left chest rib fracture in 9 cases, 5 cases complicated by blood left pneumothorax; pulmonary contusion in 3 cases, 5 cases of cerebral contusion, epidural hematoma in 2 cases, left renal contusion in 1 case, 5 cases other than the abdomen is not dirty observed damage in the emergency device. According to Tianjin in September 2000 the Sixth National Conference on grading standards spleen surgery, this group of patients in 6 cases of grade , grade 16 cases, grade 2 cases. 2 Clinical manifestations and treatment of 24 cases 14 cases of road traffic injuries abdominal injuries after B-and X-ray examination, abdominal puncture in 4 cases and found no ascites and free gas under the sign of every initial rule out the dirty bell