钝性脾损伤的延迟表现。

Delayed presentation of blunt splenic injury.

作者信息

Leppäniemi A, Haapiainen R, Standertskjöld-Nordenstam C G, Taavitsainen M, Hästbacka J

机构信息

Second Department of Surgery, Helsinki University Central Hospital, Finland.

出版信息

Am J Surg. 1988 Jun;155(6):745-9. doi: 10.1016/s0002-9610(88)80035-7.

DOI:10.1016/s0002-9610(88)80035-7

PMID:3287977

Abstract

Eleven patients with delayed presentation of splenic injury after blunt abdominal trauma treated during a 10 year period have been described. They represented 24 percent of all patients treated for blunt splenic injury in our department in that time period. Ten patients required operative treatment and one was treated nonoperatively. There were no deaths. The value of computerized tomography and ultrasonography in the accurate preoperative assessment of splenic injury has been documented. In addition, the various diagnostic and therapeutic possibilities in blunt splenic trauma have been discussed.

摘要

本文描述了10年间收治的11例钝性腹部创伤后延迟出现脾损伤的患者。他们占该时间段内我院收治的所有钝性脾损伤患者的24%。10例患者需要手术治疗，1例接受非手术治疗。无死亡病例。计算机断层扫描和超声检查在脾损伤术前准确评估中的价值已得到证实。此外，还讨论了钝性脾创伤的各种诊断和治疗方法。