Selective non-surgical treatment of traumatic rupture of 32 cases of.docVIP

 PAGE \* MERGEFORMAT 12 Selective non-surgical treatment of traumatic rupture of 32 cases of Author: Mao Xiaohong Gu Qiu Zhong Miao Jin Zhao Keywords: splenic rupture In blunt abdominal trauma, the rupture of the most common, traditional healing methods splenectomy. In recent years, due to a better understanding of splenic function, all kinds of spleen-preserving techniques have emerged, including non-surgical treatment of spleen-preserving techniques have become an important means. Our hospital from January 1999 to December 2006 using non-surgical treatment of splenic rupture 32 cases are reported as follows. A clinical data 1.1 General Information The group of 32 patients, male 21 cases, 11 females, aged 15 to 50 years (mean 32 years), wound treatment time 30min ~ 24h. Cause of his injuries: 15 cases of car accident injuries, falls in 6 cases, fall injuries in 5 cases, blunt injured in 4 cases, crush injury in 2 cases. Merge on the left rib fractures in 5 cases, 3 cases of left renal contusion, subcapsular hematoma in 2 cases of liver, limb fractures in 6 cases. All patients had clear-cut ribs or upper left quarter of the history of abdominal trauma, have left upper abdominal pain, tenderness, splenic call-in pain, no signs of diffuse peritonitis, or only mild peritoneal irritation, or only with hemodynamic stability a mild hemorrhagic shock (after rehydration, and rapid improvement in post-transfusion blood pressure, systolic blood pressuregt; 90mmHg). All patients were diagnosed abdominal puncture, B-ultrasonography and CT examination a clear diagnosis, and to exclude intra-abdominal rupture of other organs. Rupture extent by American Trauma Society (AAST) grading imaging [1]: Ⅰ level in 23 cases, Ⅱ grade 9 cases. 1.2 Treatment Non-surgical treatment of major measures: absolute bed rest 1 ~ 2 weeks, oxygen, sedation, analgesia; quickly added that blood volume, maintain water and electrolyte balance (but to