Emergency surgical treatment of liver and spleen plateau fracture experience of 60 cases.docVIP

 PAGE \* MERGEFORMAT 7 Emergency surgical treatment of liver and spleen plateau fracture experience of 60 cases [Keywords:] liver and spleen rupture; plateau; surgical treatment Ganzi, Sichuan is located in an average of more than 3 500 m altitude mountain plateau, akin to finding dangerous, rugged roads, traffic inconvenience. In recent years, with the local economic development, work-related injuries, traffic accidents have increased significantly than before, onset of abdominal parenchymatous organ injury urgent, rapid, limited local medical conditions, misdiagnosis and missed diagnosis and delayed treatment and high mortality. I work in the highlands during the break to help local hospitals deal with 60 cases of liver and spleen, are summarized as follows. 1 Clinical data 1.1 General Information The group of 60 patients, 48 #8203;#8203;male and 12 female; aged 16 to 70 years, an average of 39 years. The causes of injury: road accident in 38 cases, stabbed in 8 cases, 7 cases of violence and injury, falls injuries 4 cases, 3 cases of gunshot wounds. including 49 cases of blunt trauma, open wounds and in 11 cases. from injury to operation time 3 ~ 72h. Average 9h, 24h 48 cases within the surgery. injuries: 38 cases of splenic rupture, hepatic rupture 22 cases, 60 cases of combined pancreas injury in 2 cases, 6 cases of gastric damage, intestinal damage in 9 cases, 3 cases of colon injury, omental injury in 4 cases, 2 cases of renal contusion, bladder injury in 1, 2 cases of urethral rupture, mesenteric injury in 4 cases, 6 cases of retroperitoneal hematoma, rib fractures and blood pneumothorax combined in 10 cases, 2 cases of pelvic fracture, traumatic brain injury in 1. 1.2 The clinical performance of 60 patients were abdominal pain, abdominal tenderness, and abdominal muscle tension in 51 cases, 31 cases of abdominal distention, nausea and vomiting in 27 cases, 42 cases of varying degrees of shock. Laboratory; red blood cells and hemoglobin d