62 cases of traumatic spleen rupture surgery timing and manner of.docVIP

 PAGE \* MERGEFORMAT 11 62 cases of traumatic spleen rupture surgery timing and manner of Study: Preserving Chen, Li Guoqiang, Yuchun [Keywords:] rupture of surgical timing of surgery The spleen is a rich blood supply and crisp substantive organs, trauma, violence, it is easy to break Erzhi bleeding, life-threatening. Young force in the socialist construction, but also ready to face the threat of death. Our hospital since 1999 years 10 months to October 2007 were treated 62 cases of traumatic rupture of spleen, are summarized as follows. Materials and Methods 1. General information on this group of 62 cases of traumatic rupture, 41 cases of male and female in 21 cases. Youngest 9 years old, maximum 72 years, mean age 36 years. The causes of injury: falls from a height of 19 cases, 23 cases of car accident injuries, impact injury in 10 cases, 7 cases of crush injury, stab wound in 3 cases. sent to hospital after an injury to the shortest 15 minutes, up to 18 hours. The mix and traumatic brain injury in 8 cases, 6 cases of chest trauma, gastrointestinal rupture 7 cases, 6 cases of renal injury, long bone fractures of limbs in 4 cases, 5 cases of pancreatic injury. splenic injury location and extent: the upper pole of the spleen in 15 cases, 23 cases of the lower pole of the spleen, splenic injury in 6 cases, upper and lower pole of both injury 18 cases. 2. Rupture under the rupture level levels to determine the depth of rupture, rupture length and scope, according to Lee’s degree classification categories [1]. degree: laceration isolated shallow depth of lt;1.0 cm, length lt;5.0 cm 8 cases, degree: isolated deep laceration, depth lt;1.0 cm, lengthgt; 5.0 cm, or multiple splenic laceration involving 21 patients but, degree: Star break, partly broken away, has been involved in the spleen Gate 18 cases. degree: extensive fragmentation of the spleen, splenic rupture zone, splenic capsule extensive exfoliation, splenic vascular pedicle serious i