Analysis of 59 cases of traumatic rupture of spleen.docVIP

 PAGE \* MERGEFORMAT 8 Analysis of 59 cases of traumatic rupture of spleen [Abstract] Objective To summarize the experience of diagnosis and treatment of traumatic spleen rupture. Methods Retrospective analysis of 59 cases of traumatic spleen rupture of clinical data. The results with history of trauma and abdominal symptoms, abdominal wear results and CT, B extra fine auxiliary examination confirming the diagnosis, this group of B-diagnosis rate of 91.5%, CT diagnosis rate of 100%. Non-surgical treatment of 11 cases, 9 cases were successful, two cases of transit operations, the cure rate 81.8%; surgical treatment of 50 cases (including the transit operation in 2 cases), in addition to 2 cases due to severe traumatic brain injury, 1 case of time due to prolonged shock death, the rest were cured and discharged, the cure rate 94.9%. Conclusion easier diagnosis of traumatic rupture of spleen, B Chao, CT and so can improve the diagnostic rate of splenic rupture. Traumatic rupture of spleen in ensuring the safety of the wounded, under the premise should be retained as far as possible form and function of the spleen, and strictly control non-surgical treatment indications, not easily cut spleen, preservation of the spleen can not be blind, in principle, ‘the first life insurance reinsurance spleen ‘[1]. [Keywords:] diagnosis and treatment of traumatic rupture of spleen preservation of the spleen Rupture of abdominal trauma the most common abdominal visceral injury in blunt abdominal trauma accounted for 20% ~ 40%, open injury accounted for 10% [2]. Our hospital since March 2004 ~ November 2008 among a total of 59 patients treated for traumatic rupture of spleen, according to the patient’s condition as well as the ‘first life insurance, reinsurance spleen’ principle, chose a different treatment methods have achieved good clinical results. Retrospective analysis and final report with literature are as follows. A clinical data 1.1 General Information The group of