钝性脾损伤非手术治疗中的主要争议
MAIN CONTROVERSIES IN THE NONOPERATIVE MANAGEMENT OF BLUNT SPLENIC INJURIES.
作者信息
Carlotto Jorge Roberto Marcante, Lopes-Filho Gaspar de Jesus, Colleoni-Neto Ramiro
机构信息
School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil.
出版信息
Arq Bras Cir Dig. 2016 Mar;29(1):60-4. doi: 10.1590/0102-6720201600010016.
INTRODUCTION
The nonoperative management of traumatic spleen injuries is the modality of choice in patients with blunt abdominal trauma and hemodynamic stability. However, there are still questions about the treatment indication in some groups of patients, as well as its follow-up.
AIM
Update knowledge about the spleen injury.
METHOD
Was performed review of the literature on the nonoperative management of blunt injuries of the spleen in databases: Cochrane Library, Medline and SciELO. Were evaluated articles in English and Portuguese, between 1955 and 2014, using the headings "splenic injury, nonoperative management and blunt abdominal trauma".
RESULTS
Were selected 35 articles. Most of them were recommendation grade B and C.
CONCLUSION
The spleen traumatic injuries are frequent and its nonoperative management is a worldwide trend. The available literature does not explain all aspects on treatment. The authors developed a systematization of care based on the best available scientific evidence to better treat this condition.
引言
对于钝性腹部创伤且血流动力学稳定的患者，创伤性脾损伤的非手术治疗是首选方式。然而，对于某些患者群体的治疗指征及其随访仍存在疑问。
目的
更新有关脾损伤的知识。
方法
在Cochrane图书馆、Medline和SciELO数据库中对关于脾钝性损伤非手术治疗的文献进行综述。评估了1955年至2014年间的英文和葡萄牙文文章，使用的标题为“脾损伤、非手术治疗和钝性腹部创伤”。
结果
选择了35篇文章。其中大多数为B级和C级推荐。
结论
创伤性脾损伤很常见，其非手术治疗是全球趋势。现有文献并未解释治疗的所有方面。作者基于最佳可得科学证据制定了护理系统化方案，以更好地治疗这种情况。
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