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脾损伤的保守性手术

Conservative surgery for splenic injuries.

作者信息

Sherman N J, Asch M J

出版信息

Pediatrics. 1978 Feb;61(2):267-71.

PMID:634682
Abstract

Splenectomy for traumatic injury of the spleen has recently been questioned, due to the occurrence of postsplenectomy sepsis. During the past year we have operated on six children with splenic injuries and, by utilizing different surgical manuevers, have successfully reserved all or part of the spleen. The following report describes the management of these children and the operative techniques that allow the injured spleen to be salvaged.

摘要

由于脾切除术后败血症的发生,因外伤性脾损伤而行脾切除术近来受到质疑。在过去的一年里,我们对6例脾损伤患儿进行了手术,并通过采用不同的手术方法,成功地保留了全部或部分脾脏。以下报告描述了这些患儿的治疗方法以及能挽救受伤脾脏的手术技巧。

相似文献

1
Conservative surgery for splenic injuries.脾损伤的保守性手术
Pediatrics. 1978 Feb;61(2):267-71.
2
Traumatic splenic injury: splenectomy vs. repair.创伤性脾损伤:脾切除术与脾修复术
Am Surg. 1979 Oct;45(10):631-5.
3
[Splenic conservative surgery in infants].[婴儿脾脏保守手术]
An Esp Pediatr. 1983 Jun;18(6):489-92.
4
[Conservative treatment of injuries of the spleen in children].[儿童脾脏损伤的保守治疗]
Acta Chir Belg. 1983 May-Jun;82(3):217-20.
5
The born-again spleen. Return of splenic function after splenectomy for trauma.再生脾脏。创伤性脾切除术后脾功能的恢复
N Engl J Med. 1978 Jun 22;298(25):1389-92. doi: 10.1056/NEJM197806222982504.
6
[Splenic injuries: therapeutic orientation. Apropos of 46 cases].
Chir Pediatr. 1984;25(1):1-5.
7
[Imaging technics in injuries of the spleen in children. Its significance for indications of conservative treatment].[儿童脾脏损伤的影像学技术。其对保守治疗指征的意义]
Chirurgie. 1987;113(6):629-33.
8
[Conservative surgery of splenic trauma in children].
Rev Assoc Med Bras (1992). 1994 Apr-Jun;40(2):113-7.
9
The non-operative management of splenic trauma.脾外伤的非手术治疗
Aust N Z J Surg. 1977 Apr;47(2):179-82. doi: 10.1111/j.1445-2197.1977.tb04263.x.
10
Hospital characteristics associated with the management of pediatric splenic injuries.与小儿脾损伤管理相关的医院特征。
JAMA. 2005 Nov 23;294(20):2611-7. doi: 10.1001/jama.294.20.2611.

引用本文的文献

1
Conservative management of splenic trauma: history and current trends.脾外伤的保守治疗:历史与当前趋势
Pediatr Surg Int. 2003 Nov;19(9-10):617-27. doi: 10.1007/s00383-003-0972-y. Epub 2003 Nov 12.
2
Splenic trauma in children.儿童脾外伤
West J Med. 1980 Jan;132(1):60-1.
3
The importance of splenic blood flow in clearing pneumococcal organisms.脾血流在清除肺炎球菌中的重要性。
Ann Surg. 1982 Feb;195(2):172-6. doi: 10.1097/00000658-198202000-00009.
4
Malign effects of splenectomy--the place of conservative treatment.脾切除术的不良影响——保守治疗的地位
Postgrad Med J. 1982 Feb;58(676):65-9. doi: 10.1136/pgmj.58.676.65.
5
Partial splenectomy for a splenic pseudocyst.脾假性囊肿的部分脾切除术。
J Natl Med Assoc. 1984 Oct;76(10):1020-4.
6
Splenic preservation in children.儿童脾脏的保留
World J Surg. 1985 Apr;9(2):214-21. doi: 10.1007/BF01656314.
7
Arterial segmentation in the spleen.脾脏内的动脉分段
Surg Radiol Anat. 1988;10(4):323-32. doi: 10.1007/BF02107906.
8
Splenic artery ligation: a ten-year experience in the treatment of selected cases of splenic injuries in children.脾动脉结扎术:儿童脾损伤特定病例治疗的十年经验
Jpn J Surg. 1991 Mar;21(2):172-7. doi: 10.1007/BF02470905.