脾切除同步自血回输治疗闭合性脾破裂大出血探讨临床医学.doc

脾切除同步自血回输治疗闭合性脾破裂大出血探讨临床医学 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1：脾切除同步自血回输治疗闭合性脾破裂大出血探讨临床医学 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：探讨脾破裂治疗新动向 5 1 临床资料 5 2 结果 6 3 讨论 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 脾切除同步自血回输治疗闭合性脾破裂大出血探讨临床医学 文1：脾切除同步自血回输治疗闭合性脾破裂大出血探讨临床医学 【Abstract】Objective To explore the application value of synchronous blood auto-infusion during splenctomy in the treatment of hemorrhoea caused by closed spleen rupture . Methods 32 cases of spleen traumatic rupture received splenectomy from 2003 to 2006 in our hospital , among them , 18 had synchronous blood auto-infusion during splenctomy ,14 had foreign blood infusion during splenctomy. Blood loss during operation 、related index of hemocytology and coagulation before and after operation、GPT change of 1、3、5 days postoperatively 、hospital day were compared . Results Hospital days and GPT change of 1、3、5 days postoperatively were lower in the blood auto-infusion group than those in the foreign blood infusion group (P<), there was significant difference in no blood loss during operation and hemoglobin change before and after operation between the two groups(P>0．05) . The various index of hemocytology were all significantly improved after blood infusion compared with those before blood infusion(P<) . Conclusio Synchronous blood auto-infusion during splenctomy can achieve the goal of blood infusion and the procedure is simple. It induces the impairment of liver function and acute injury to the whole body ,also it shorte the postoperative hospital days,so it can improve the therapeutic effects of splenctomy in the treatment of hemorrhoea caused by spleen traumatic rupture . 【Key words】 Spleen traumatic rupture blood-auto infusion foreign blood infusion 外伤性脾破裂是最常见的急腹症之一, 病情凶险，往往在数十分钟内便发生失血性休克。脾切除术操作简单，止血效果立竿见影，是外伤性脾破裂出血最常用的手术方式。2003至2006年，本院收治的32例外伤性脾破裂出血行脾切除术患者，其中18例采用脾切除同步自血回输，14例异体输血脾切除术。现报告如下。 1 资料与方法 一般资料 自血回输组 18 例外伤性单纯脾破裂患者中, 男15 例,女3 例；年龄18～53 岁。挤压伤5 例, 坠伤3 例, 车祸9 例,踢伤1 例，其中休克2 例。