急诊外科胸腹部外伤导致延迟性脾破裂临床急救研究.docVIP

急诊外科胸腹部外伤导致延迟性脾破裂临床急救研究 　　【摘要】目的：探究急诊外科胸腹部外伤导致延迟性脾破裂临床急救的方法。方法：选取2014年7月至2017年8月在我院急诊外科诊治的54例因胸腹部外伤导致的延迟性脾破裂患者作为分析对象，根据选择治疗方式的不同分为观察组和对照组。对照组选择手术治疗，观察组患者选择非手?g治疗，在治疗后对比两组患者的治疗效果，ISS指标结果、输血量、住院时间及并发症的发生情况。结果：观察组与对照组患者的创伤严重度分值及疗效相当（P0.05）；观察组患者的住院时长、输血量均长于或多于对照组患者，但并发症的发生率均小于对照组患者，两组之间的差异比较均有统计学意义（P0.05）。结论：对于因胸腹外伤导致的延迟性脾破裂采取非手术方法治疗的疗效与手术方法治疗相当，但是对患者的损伤小，术后并发症少，值得临床应用与推广。 　　【关键词】急诊外科；胸腹部外伤；延迟性脾破裂；临床急救；探究分析 　　Abstract Objective： To explore the thoracic and abdominal trauma emergency surgery of delayed splenic rupture of clinical emergency. Methods ： from July 2014 to August 2017 in our hospital 54 cases of emergency surgery diagnosis and treatment due to thoracic and abdominal traumatic delayed rupture of spleen as the analysis objects were selected according to the different forms of treatment are divided into observation group and control group control. The choice of surgical treatment group， treated with non surgical treatment， after treatment， compared two groups of patients， the ISS index， blood transfusion， hospitalization time and complications. Results： the observation group and the control group of patients with severity score and the curative effect of trauma A （P0.05）； the observation group hospitalization time， blood transfusion were longer or more than patients in the control group， but the incidence of complications was lower than those in the control group， the difference between the two groups were statistically significant （P0.05）. Conclusion： the trauma caused by abdominal delayed rupture of spleen treated by curative effect non operative treatment and surgical methods， but little damage to patient， less postoperative complications， worthy of clinical application and promotion. 　　Key words： Clinical first aid analysis of delayed splenic rupture due to thoracoabdominal trauma in emergency surgery 　　【中图分类号】 R605.97 　　【文献标识码】 A 　　【文章编号】1672-3783（2018）03-03-002-01 　　延迟性脾破裂是外伤性脾破裂的一种特殊类型，实则为真性破裂，是指脾中央型及包膜下出现破裂恶化，在临床上较为常见，诊断也较为容易，然而若受伤患者在早期时无典型的症状反