Chiotoroiu Ai L, Venter D M, Negoi I, Vartosu C, Plotogea O, Paun S, Vartic M, Beuran M
Chirurgia (Bucur). 2014 Nov-Dec;109(6):731-40.
Trauma is a global health issue, being the 4th death cause after cardio-vascular disease, malignancies and chronic pulmonary diseases and the main death cause among young people, under 45 years (1). The frequency of abdominal trauma is 10-12% of all polytrauma, and from all abdominal organs, the spleen and liver are the most often involved in polytraumatized patients case (2). The first purpose of a successful operational management is the control of active bleeding, and the second is preserving as much as possible of the destroyed organs. Over the last decades, the treatment of spleen traumas had been diversified,from nonsurgical treatment to surgical, also complex and diversified: from conservative treatment to splenectomy.Currently, from a therapeutic standpoint, the trends in spleen trauma are orientated towards conservative methods as the clinical and experimental data have shown that it is better with the entire spleen than part of it, and better with a part of it than with none at all (Raymond Hinshaw) (3).
创伤是一个全球性的健康问题，是继心血管疾病、恶性肿瘤和慢性肺部疾病之后的第四大死因，也是45岁以下年轻人的主要死因（1）。腹部创伤的发生率占所有多发伤的10-12%，在所有腹部器官中，脾脏和肝脏在多发伤患者病例中最常受累（2）。成功的手术治疗的首要目的是控制活动性出血，其次是尽可能保留受损器官。在过去几十年里，脾脏创伤的治疗方法多种多样，从非手术治疗到手术治疗，同样复杂多样：从保守治疗到脾切除术。目前，从治疗角度来看，脾脏创伤的治疗趋势倾向于保守方法，因为临床和实验数据表明“有整个脾脏比有部分脾脏好，有部分脾脏比没有脾脏好（雷蒙德·欣肖）”（3）。
