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钝性脾损伤的处理：深入探究与全面应对

Management of blunt splenic injury: down the rabbit hole and into the bucket.

作者信息

Savage Stephanie A

机构信息

Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.

出版信息

Trauma Surg Acute Care Open. 2023 Apr 6;8(Suppl 1):e001119. doi: 10.1136/tsaco-2023-001119. eCollection 2023.

DOI:10.1136/tsaco-2023-001119
PMID:37082308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10111894/
Abstract

Management of splenic trauma has changed dramatically over the past 30 years. Many of these advances were driven by the Memphis team under the leadership of Dr. Timothy Fabian. This review article summarizes some of those changes in clinical care, especially related to nonoperative management and angioembolization.

摘要

在过去30年里，脾外伤的治疗发生了巨大变化。其中许多进展是由蒂莫西·法比安博士领导的孟菲斯团队推动的。这篇综述文章总结了临床治疗中的一些变化，特别是与非手术治疗和血管栓塞相关的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b9/10111894/8a0f3c87287e/tsaco-2023-001119f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b9/10111894/8a0f3c87287e/tsaco-2023-001119f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b9/10111894/8a0f3c87287e/tsaco-2023-001119f01.jpg

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本文引用的文献

1
Serial CT for Nonoperatively Managed Splenic Injuries.非手术治疗的脾损伤的连续 CT 检查。
Am Surg. 2022 Jul;88(7):1504-1509. doi: 10.1177/00031348221082285. Epub 2022 Mar 28.
2
Anticoagulation is Associated with Increased Mortality in Splenic Injuries.抗凝治疗与脾损伤患者死亡率升高相关。
J Surg Res. 2021 Oct;266:1-5. doi: 10.1016/j.jss.2021.04.002. Epub 2021 May 8.
3
The effect of anticoagulation on outcomes after liver and spleen injuries: A research consortium of New England centers for trauma (ReCONECT) study.
抗凝治疗对肝脾损伤后结局的影响：新英格兰创伤中心研究联盟（ReCONECT）研究。
Injury. 2020 Sep;51(9):1994-1998. doi: 10.1016/j.injury.2020.05.002. Epub 2020 May 15.
4
Organ injury scaling 2018 update: Spleen, liver, and kidney.《2018年器官损伤分级更新：脾脏、肝脏和肾脏》
J Trauma Acute Care Surg. 2018 Dec;85(6):1119-1122. doi: 10.1097/TA.0000000000002058.
5
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.
6
Splenic trauma: WSES classification and guidelines for adult and pediatric patients.脾脏创伤：WSES 分类和成人及儿童患者治疗指南。
World J Emerg Surg. 2017 Aug 18;12:40. doi: 10.1186/s13017-017-0151-4. eCollection 2017.
7
Natural history of splenic vascular abnormalities after blunt injury: A Western Trauma Association multicenter trial.钝性损伤后脾血管异常的自然史：西部创伤协会多中心试验
J Trauma Acute Care Surg. 2017 Dec;83(6):999-1005. doi: 10.1097/TA.0000000000001597.
8
The spleen not taken: Differences in management and outcomes of blunt splenic injuries in teenagers cared for by adult and pediatric trauma teams in a single institution.脾脏未切除：单一机构中成人和儿科创伤团队护理的青少年钝性脾损伤的管理和结果差异
J Trauma Acute Care Surg. 2017 Sep;83(3):368-372. doi: 10.1097/TA.0000000000001557.
9
Overall Splenectomy Rates Stable Despite Increasing Usage of Angiography in the Management of High-grade Blunt Splenic Injury.尽管在高级钝性脾损伤的处理中越来越多地使用血管造影术，但全脾切除术的总体比率仍保持稳定。
Ann Surg. 2018 Jul;268(1):179-185. doi: 10.1097/SLA.0000000000002246.
10
Subcapsular hematoma in blunt splenic injury: A significant predictor of failure of nonoperative management.钝性脾损伤中的包膜下血肿：非手术治疗失败的重要预测指标。
J Trauma Acute Care Surg. 2015 Dec;79(6):957-9; discussion 959-60. doi: 10.1097/TA.0000000000000854.