Tang B S
Zhonghua Wai Ke Za Zhi. 1989 Jan;27(1):25-7, 61.
Among 79 cases of splenic rupture, 76 were treated with non-operative treatment since 1980, with interval splenectomy in 1 case. All the patients were cured. The diagnosis was based on history, hemoperitoneum, diagnostic abdominocentsis, ultrasonic scanning, endoscopy, and X-ray with examination contrast media. The medical measures included bed rest, gastric decompression, blood volume replenishment, autotransfusion and Chinese medicine. Both children and adults suffering from splenic rupture can be treated with nonoperative treatment in selected cases.
1980年以来，79例脾破裂患者中，76例接受了非手术治疗，1例行择期脾切除术。所有患者均治愈。诊断依据病史、腹腔积血、诊断性腹腔穿刺、超声扫描、内镜检查以及使用造影剂的X线检查。治疗措施包括卧床休息、胃肠减压、补充血容量、自体输血和中药治疗。部分儿童和成人脾破裂患者可选择非手术治疗。
