Rappaport W D, Roeder V
Department of Surgery, University Medical Center Tucson, Arizona.
Injury. 1989 May;20(3):157-8. doi: 10.1016/0020-1383(89)90087-9.
The spleen is the most commonly injured organ in blunt trauma of the abdomen. In the haemodynamically unstable patient bleeding from a splenic injury, rapid control of the splenic hilum can be a technically demanding operation. We describe a technique which allows for rapid control of the splenic hilum and unhurried ligation of splenic vessels. This technique has been used on 30 patients without any complications related to splenectomy. It is most helpful when one is working with an inexperienced assistant.
脾脏是腹部钝性创伤中最常受损的器官。对于因脾损伤而血流动力学不稳定的患者，迅速控制脾门可能是一项技术要求很高的手术。我们描述了一种能够迅速控制脾门并从容结扎脾血管的技术。该技术已应用于30例患者，未出现任何与脾切除术相关的并发症。当与经验不足的助手配合时，这项技术最有帮助。
