Aust N Z J Surg. 1987 Aug;57(8):549-53.
A series of 205 ruptured adult spleens, half of them due to personal assault, has been collected from several hospitals. In some of these cases a trial of non-operative management has become standard practice unless other abdominal injuries are suspected. One hundred and thirty-seven cases were managed this way initially, successfully so in 80%. Splenectomy was performed in 70 patients with eight deaths; three of them in the 27 instances where non-operative management was said to have failed. None of these eight deaths was due to operative delay.
我们从几家医院收集了一系列205例成人脾脏破裂病例，其中一半是由于人身攻击所致。在其中一些病例中，除非怀疑有其他腹部损伤，否则试行非手术治疗已成为标准做法。最初，137例病例采用这种方法治疗，80%取得成功。70例患者接受了脾切除术，8例死亡；其中3例死亡发生在据称非手术治疗失败的27例病例中。这8例死亡均非手术延迟所致。
