About 56 cases of traumatic rupture of Diagnosis and Treatment（对56例外伤性破裂的诊断和治疗）.docVIP

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2017-09-05 发布于浙江
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About 56 cases of traumatic rupture of Diagnosis and Treatment（对56例外伤性破裂的诊断和治疗）.doc

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About 56 cases of traumatic rupture of Diagnosis and Treatment（对56例外伤性破裂的诊断和治疗）

About 56 cases of traumatic rupture of Diagnosis and Treatment [Abstract] Objective To investigate the diagnosis and treatment of traumatic splenic rupture. Methods A retrospective analysis of the clinical data of 56 cases of traumatic splenic rupture. Results 56 cases with splenic injuries cases with abdominal pain as the main symptoms, treatment to surgical treatment, non- Surgical treatment of eight cases of surgical treatment of 48 cases (4 cases of splenic repair, splenectomy plus autologous spleen transplantation in 6 cases, simple to splenectomy 38 cases), 53 cases were cured, transferred three cases. Conclusion traumatic rupture of diagnosis easier, abdominal paracentesis, abdominal CT, B super can increase the rate of splenic rupture diagnosis, surgical treatment is the main treatment. [Keywords] trauma; splenic rupture; surgery Abdominal trauma is a common and frequently occurring in the primary hospital, while the highest rate of injury in spleen in abdominal trauma, accounting for about 45% of the entire abdominal trauma [1]. Clinical manifestations of abdominal hemorrhage and peritoneal irritation, serious spleen injury in lead to hemorrhagic shock, or even death, needed emergency treatment within a short period of time. With strict indications splenic injury in non-surgical treatment, the vast majority of splenic injury requiring emergency surgical treatment, the authors retrospectively analyzed 56 cases with splenic injuries diagnosis and treatment occurred in the past 10 years, are reported below. 1 Clinical data 1.1 General Information The group of 56 patients, male 41 cases, 15 females; aged 7 to 65 years, mean 36 years; 6 cases of open injury, blunt injury, 50 cases; Traffic accident in 30 cases, injured and fall injury in 18 cases, impact injury five cases, three cases of sharp injuries. 1.2 spleen injury type and time Grade Ⅰ ~ Ⅳ spleen injury, degree of injury severity grading standards formulated according to the 2000