96 cases of traumatic rupture of Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 6 96 cases of traumatic rupture of Diagnosis and Treatment [Keywords:] traumatic rupture Our hospital in October 1999 to October 2008 were treated 96 cases of traumatic spleen rupture diagnosis and treatment were retrospectively analyzed to investigate the best way to diagnosis and treatment. 1 Clinical data 1.1 General information on our hospital in October 1999 to October 2008 were treated 96 cases of traumatic rupture, 68 patients were male and 28 females. Open injury in 7 cases, 89 cases of blunt trauma. The causes of injury: traffic accident 60 cases, 8 cases of traumatic injury, injured and fall injury in 25 cases, 3 cases of sharp injuries. 1.2 Clinical manifestations of 96 patients 76 cases of simple rupture (79.2%), spleen injury complicated by other parts of the 20 cases (20.8%), 85 cases were associated with shock performance (88.5%) of the patients complained of abdominal pain mainly accounted for 95.8% of 92 cases, abdominal tenderness, rebound tenderness, muscular tension accounted for 85.4% of 82 cases positive. 1.3 Diagnosis Diagnosis is generally not difficult to rupture, combined with abdominal trauma history, clinical manifestations, combined with the corresponding auxiliary relatively clear diagnosis, diagnostic paracentesis is an indispensable method of blood was drawn in this group, there were 81 cases, the condition allows cases undergoing abdominal ultrasound or CT examination should be routine, this group 90 patients by ultrasound or CT examinations showed 85 cases of splenic rupture. 1.4 treatment of non-surgical treatment of 12 cases, 2 cases of conservative treatment fails transit operation, 86 patients (including non-surgical treatment of transit operation in 2 cases, 18 cases of splenic repair, partial splenectomy in 12 cases, spleen autologous whole spleen Shaver chip within the greater omentum transplantation in 56 cases. 2 Results After injury, 96 patients were cured 7 ~ 20 d, no