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成人脾脏非手术治疗的最新进展。

An update on nonoperative management of the spleen in adults.

作者信息

Zarzaur Ben L, Rozycki Grace S

机构信息

Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.

出版信息

Trauma Surg Acute Care Open. 2017 Jun 9;2(1):e000075. doi: 10.1136/tsaco-2017-000075. eCollection 2017.

DOI:10.1136/tsaco-2017-000075
PMID:29766085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5877897/
Abstract

Many patients with blunt splenic injury are considered for nonoperative management and, with proper selection, the success rate is high. This paper aims to provide an update on the treatments and dilemmas of nonoperative management of splenic injuries in adults and to offer suggestions that may improve both consensus and patient outcomes.

摘要

许多钝性脾损伤患者会考虑接受非手术治疗，并且经过适当筛选，成功率很高。本文旨在提供有关成人脾损伤非手术治疗的方法及困境的最新信息，并提出可能有助于提高共识及改善患者治疗效果的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/b8dd8ef4bd9f/tsaco-2017-000075f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/47d9bc022aea/tsaco-2017-000075f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/155686f2e10c/tsaco-2017-000075f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/b30d192da4a6/tsaco-2017-000075f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/e96310b3ca0e/tsaco-2017-000075f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/b8dd8ef4bd9f/tsaco-2017-000075f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/47d9bc022aea/tsaco-2017-000075f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/155686f2e10c/tsaco-2017-000075f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/b30d192da4a6/tsaco-2017-000075f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/e96310b3ca0e/tsaco-2017-000075f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0317/5877897/b8dd8ef4bd9f/tsaco-2017-000075f05.jpg

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An update on nonoperative management of the spleen in adults.成人脾脏非手术治疗的最新进展。
Trauma Surg Acute Care Open. 2017 Jun 9;2(1):e000075. doi: 10.1136/tsaco-2017-000075. eCollection 2017.
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Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis.计算机断层扫描诊断的脾损伤的非手术挽救：利用血管造影进行分类并采用栓塞术止血
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本文引用的文献

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An Overview of Splenic Embolization.脾脏栓塞术概述。
AJR Am J Roentgenol. 2015 Oct;205(4):720-5. doi: 10.2214/AJR.15.14637.
2
The splenic injury outcomes trial: An American Association for the Surgery of Trauma multi-institutional study.脾损伤结局试验：美国创伤外科协会多机构研究。
J Trauma Acute Care Surg. 2015 Sep;79(3):335-42. doi: 10.1097/TA.0000000000000782.
3
Trauma center angiography use in high-grade blunt splenic injuries: Timing is everything.创伤中心血管造影术在严重钝性脾损伤中的应用：时机至关重要。
在开始对脾外伤进行监测后的30天内，与栓塞或脾切除术相关的患者因素。
Emerg Radiol. 2024 Dec;31(6):823-833. doi: 10.1007/s10140-024-02285-3. Epub 2024 Oct 4.
4
Surgical Treatment versus Conservative Management of Splenic Rupture: Outcomes and Risk Factors.脾破裂的手术治疗与保守治疗：结果与风险因素
Bull Emerg Trauma. 2024;12(1):15-20. doi: 10.30476/BEAT.2024.101350.1489.
5
Pre- and post-implementation protocol for non-operative management of grade III-V splenic injuries: An observational study.III - V级脾损伤非手术治疗的实施前和实施后方案：一项观察性研究。
Heliyon. 2024 Mar 20;10(7):e28447. doi: 10.1016/j.heliyon.2024.e28447. eCollection 2024 Apr 15.
6
Splenic artery embolisation for splenic injury during colonoscopy: A systematic review.结肠镜检查时脾损伤的脾动脉栓塞治疗：系统评价。
United European Gastroenterol J. 2024 Feb;12(1):44-55. doi: 10.1002/ueg2.12498. Epub 2023 Dec 4.
7
The predictive value of CTSI scoring system in non-operative management of patients with splenic blunt trauma: The experience of a level 1 trauma center.CTSI评分系统在脾钝性创伤患者非手术治疗中的预测价值：一级创伤中心的经验
Eur J Radiol Open. 2023 Sep 23;11:100525. doi: 10.1016/j.ejro.2023.100525. eCollection 2023 Dec.
8
Splenic Capsule Injury: A Rare Complication of Sigmoid Volvulus.脾包膜损伤：乙状结肠扭转的一种罕见并发症。
Cureus. 2023 Jun 28;15(6):e41118. doi: 10.7759/cureus.41118. eCollection 2023 Jun.
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Management of blunt splenic injury: down the rabbit hole and into the bucket.钝性脾损伤的处理：深入探究与全面应对
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Am Surg. 2023 Dec;89(12):5599-5608. doi: 10.1177/00031348231156760. Epub 2023 Mar 6.
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Consensus strategies for the nonoperative management of patients with blunt splenic injury: a Delphi study.钝性脾损伤非手术治疗患者的共识策略：一项 Delphi 研究。
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J Trauma. 2011 May;70(5):1026-31. doi: 10.1097/TA.0b013e318217080c.
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