Clinical analysis of traumatic spleen rupture.docVIP

 PAGE \* MERGEFORMAT 8 Clinical analysis of traumatic spleen rupture [Keywords:] the treatment of traumatic spleen rupture of liver Traumatic spleen rupture is more common clinical acute abdomen, more common in young men, simple liver and spleen rupture mortality rate of about 10% if combined rupture, the mortality rate is 70% or more. And early diagnosis and timely treatment, can hold more - to save lives of patients and reduce mortality. 1 Clinical data 1.1 General Information of traumatic rupture of 65 cases of liver gland, male 61 cases, 4 females, aged 4 to 53 years. Causes of injury, fall injury in 14 cases, 13 cases of traffic accidents, hit by heavy work, 28 cases or Brick injury cases, a fight in 6 cases. including 34 cases of liver injury. Splenic injury in 29 cases, combined rib fracture in 10 cases, 4 cases of renal contusion, femoral, pelvic fracture in 9 cases, 26 cases of retroperitoneal hematoma huge, no deaths. Clinical manifestations and diagnosis of 1.2 In blunt abdominal injury, causing liver and spleen rupture, mostly because of violence caused by this group of patients had a history of trauma, but the clinical symptoms not typical, subcapsular hemorrhage, delayed rupture, should be asked in detail whether the trauma history, This point is particularly important in the diagnosis, have left upper quadrant pain and tenderness. nausea, vomiting optional, and can not be used as diagnostic evidence. hepatic bile leakage can cause rupture of abdominal plates, inspection, and percussion pain and can not be missed shifting dullness of the inspection. because the spleen often around the blood clot there, so patients can be left lateral position was empty when the tone right flank, the right lateral position of the left waist but often has voiced to identify fixed. No obvious hemoglobin decreased (in this group), there is bleeding in early, there is no compensatory dilution of the blood, so the decline in hemoglobin is not