Cabano F, Resta E, Cebrelli C
Clinica Chirurgica II, Policlinico San Matteo (IRCCS), Facoltà di Medicina e Chirurgia, Università degli Studi di Pavia.
Minerva Chir. 1990 Jun 15;45(11):801-8.
A retrospective review of all the traumatic splenic ruptures from 1974 to 1988 was performed. Thirty-five patients were treated with splenectomy: 24 were males and 11 women. Teenagers and young adults were the most affected age groups. The mechanisms of injuries were: road accidents (78.8%), falls (12.1%), aggression, autoaggression and iatrogenic mishap (3%). Eighty per cent of the patients had associated injuries. Authors suggest a decisional algorithm to precise preoperative diagnosis and to treat the patients correctly. Mortality was 11.4% and primarily due to associated injuries.
对1974年至1988年间所有创伤性脾破裂病例进行了回顾性研究。35例患者接受了脾切除术，其中男性24例，女性11例。青少年和年轻人是受影响最严重的年龄组。受伤机制为：道路交通事故（78.8%）、跌倒（12.1%）、攻击、自残和医源性事故（3%）。80%的患者伴有其他损伤。作者提出了一种决策算法，以精确术前诊断并正确治疗患者。死亡率为11.4%，主要原因是伴有其他损伤。
