Kapshitar' A V
Klin Khir. 1998(9-10):23-5.
The results of laparoscopic diagnosis of splenic rupture in the closed abdominal trauma in 80 injured persons were analyzed. A splenic damage was excluded in 38 patients. In 12 of them hematoma, serohemorrhagic exudate, intestinal paresis were revealed. One patient with duodenal rupture was operated on, and in one more patient the idle laparotomy was conducted. Five patients died. According to the laparoscopic data a splenic rupture was diagnosed in 35 injured persons. Diagnostic failure was conceded in one patient, in whom a hepatic rupture was revealed while the laparoscopy conduction. A successful conservative treatment was conducted in three patients for subcapsular splenic hematoma. Relaparotomy conduction was needed in 3 patients. Three patients died: two of them--due to severe polytrauma and one--due to bronchopneumonia. One else patient died, which was hospitalized with severe polytrauma. In one patient bronchospasm have occurred.
对80例闭合性腹部创伤患者腹腔镜诊断脾破裂的结果进行了分析。38例患者排除脾损伤。其中12例发现有血肿、血清血性渗出物、肠麻痹。1例十二指肠破裂患者接受了手术，另有1例进行了剖腹探查术。5例患者死亡。根据腹腔镜检查数据，35例受伤人员被诊断为脾破裂。1例患者诊断失败，腹腔镜检查时发现肝破裂。3例包膜下脾血肿患者成功接受了保守治疗。3例患者需要再次剖腹手术。3例患者死亡：其中2例死于严重多发伤，1例死于支气管肺炎。另有1例因严重多发伤入院的患者死亡。1例患者发生了支气管痉挛。
