Rupture of Nursing.docVIP

 PAGE \* MERGEFORMAT 9 Rupture of Nursing [Keywords:] rupture of care The spleen is a large substantial intra-abdominal organs, control quality than the fragile, chest and abdominal trauma and crush injuries of the spleen and other great danger is the abdominal internal organs of the most vulnerable organ, the occurrence rate of the various abdominal injuries 40% to 50% in closed abdominal injury in the first place. vulnerable to rupture causing internal bleeding, causing varying degrees of shock and even death within a short time, so effective emergency is essential. now 19 cases of splenic injury Nursing described below. 1 Clinical data 1.1 General Information of the 19 patients, 7 males and 12 females, the youngest 12 years old, maximum 56 years old, admitted to hospital after injury, the shortest 30 minutes, up to 3 hours, cause of injury, 6 cases of car accidents, falls 7 patients, 19 patients underwent splenectomy, patients discharged, the average hospital stay 18. 1.2 The pathogenesis of spleen rich blood supply, tissue fragile and vulnerable to trauma, especially in the abdominal cavity in combined injury, rupture of living in the first place. The vast majority of traumatic splenic rupture. Penetrating injury is often accompanied by adjacent organs such as stomach, intestine, diaphragm, pleura, lung and other injuries. blunt trauma are often left chest rib fractures. iatrogenic injury and more direct pressure from the traction device, colonoscopy forced through the splenic flexure, the recovery of violent and left chest compressions hypochondrium puncture and other injuries to the spleen. Spontaneous rupture occurred in the pathological enlargement of the spleen, such as cirrhosis, malaria, schistosomiasis, and lymphatic system malignant hematopoietic diseases. 1.3 Clinical manifestations of splenic rupture clinical manifestations vary widely, and some patients soon after injury, shock and peritoneal irritation, and even