Clinical analysis of traumatic splenic rupture.docVIP

 PAGE \* MERGEFORMAT 8 Clinical analysis of traumatic splenic rupture [Keywords:] Clinical analysis of traumatic rupture of the liver and spleen Traumatic rupture in the hospital, particularly in the transport development, the rapid development of modern industry today is more common. Simple rupture mortality rate of about 10% if combined with rupture, the mortality rate is 70% or more, therefore, Early diagnosis and treatment, many patients can save lives and reduce mortality. our hospital from February 2009 to February 2010 were treated between 60 cases of traumatic rupture of spleen, in which blunt trauma in 51 cases, 9 cases of open injury, 6 cases of conservative treatment, surgical treatment of 54 cases reported are summarized below. 1 Clinical data 1.1 General information on our hospital from February 2009 to February 2010 were treated between 60 cases of traumatic rupture of spleen, in which 48 male and 12 females, aged 16-59 years, mean age 41.2 years. Injuries due to impact injury accident , falls injuries and stab wound. which open injury in 9 cases, 51 cases of closed injury. injury clearly make the diagnosis from the minimum 30 minutes, up to 20 hours. combination of rib fracture in 9 cases, 3 cases of renal contusion, femoral and pelvic fractures in 9 cases, 24 cases of retroperitoneal hematoma huge, no deaths. 1.2 Clinical manifestations at admission pulse 100 times, or more points in 42 cases, 43 cases of blood pressure 120-90/90-60mmHg ,90-50 / 60-0mmHg17 cases. Hemoglobin 6-10g / L were 19 cases, 5g / L the following those without, 11g / L or more in 41 cases. WBC count 10,000 -2 million in 28 cases, 1 million or less in 12 cases, between 2 million -3 million in 19 patients. All the patients have liver or spleen knock Click pain, shifting dullness 3 cases of suspicious, 56 were positive, 1 case of bowel sounds disappear. underwent abdominal paracentesis, and pits do not pour blood, the purposes of emergency laparotomy.