Müller Thomas S, Sommer Christoph
Departement Chirurgie, Kantonsspital Graubünden, Chur.
Ther Umsch. 2013 Mar;70(3):177-84. doi: 10.1024/0040-5930/a000387.
While the management of penetrating as well as blunt splenic injury with hemodynamic instability is straightforward with immediate operative intervention, the management of blunt splenic injury with stable hemodynamic underwent a paradigm shift over the last 3 decades. Nowadays 80 per cent of hemodynamically stable patients with blunt splenic injury can successfully be treated with a non-operative management. Angiographic embolization in selected cases is generally reported to increase the success rates of non-operative management currently approaching 95 per cent.
对于伴有血流动力学不稳定的穿透性和钝性脾损伤,立即进行手术干预的处理方法很简单;而对于血流动力学稳定的钝性脾损伤,在过去30年里其处理方式发生了范式转变。如今,80%血流动力学稳定的钝性脾损伤患者可以通过非手术治疗成功治愈。据报道,在某些特定病例中进行血管造影栓塞术通常可提高非手术治疗的成功率,目前该成功率接近95%。