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儿童创伤性脾脏的非手术治疗:方法与原因

Nonoperative management of traumatized spleen in children: how and why.

作者信息

Ein S H, Shandling B, Simpson J S, Stephens C A

出版信息

J Pediatr Surg. 1978 Apr;13(2):117-9. doi: 10.1016/s0022-3468(78)80001-3.

DOI:10.1016/s0022-3468(78)80001-3
PMID:650357
Abstract

In the absence of the apleen, overwhelming infection is a real threat. Therefore, there is a trend to try to preserve all spleens. Recognizing this, and realizing that not every damaged spleen must be removed, a nonoperative approach has been advocated and practiced for 35 yr at the Hospital for Sick Children in Toronto. This experience is recorded herein, providing indications and methods of management. The results are considered to be very satisfactory.

摘要

在无脾的情况下,暴发性感染是一个切实存在的威胁。因此,目前存在一种尽量保留所有脾脏的趋势。认识到这一点,并意识到并非每个受损的脾脏都必须切除,多伦多病童医院已提倡并实施非手术方法35年。本文记录了这一经验,提供了处理的指征和方法。结果被认为非常令人满意。

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1
Nonoperative management of traumatized spleen in children: how and why.儿童创伤性脾脏的非手术治疗:方法与原因
J Pediatr Surg. 1978 Apr;13(2):117-9. doi: 10.1016/s0022-3468(78)80001-3.
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Splenic trauma--nonoperative management and long-term follow-up by scintiscan.脾外伤——通过闪烁扫描进行非手术治疗及长期随访
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Nonoperative management of adult blunt splenic trauma: a 15-year experience.成人钝性脾外伤的非手术治疗:15年经验
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Nonoperative management of newborn splenic injury: a case report.新生儿脾损伤的非手术治疗:一例报告
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Nonoperative management of delayed splenic rupture in a patient with hemophilia B.乙型血友病患者延迟性脾破裂的非手术治疗
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引用本文的文献

1
Non-operative management of blunt splenic trauma: evolution, results and controversies.钝性脾外伤的非手术治疗:演变、结果和争议。
Rev Col Bras Cir. 2021 May 7;48:e20202777. doi: 10.1590/0100-6991e-20202777. eCollection 2021.
2
Pediatric blunt splenic trauma: a comprehensive review.小儿钝性脾损伤:综述
Pediatr Radiol. 2009 Sep;39(9):904-16; quiz 1029-30. doi: 10.1007/s00247-009-1336-0. Epub 2009 Jul 29.
3
General surgery-epitomes of progress: recent developments in trauma management: the ruptured spleen.普通外科——进展缩影:创伤管理的最新进展:脾破裂
West J Med. 1980 Dec;133(6):511.
4
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.
5
Nonoperative management of delayed splenic rupture in an adult.成人延迟性脾破裂的非手术治疗
Dig Dis Sci. 1982 Feb;27(2):171-4. doi: 10.1007/BF01311713.
6
Methods of splenic preservation and their effect on clearance of pneumococcal bacteremia.脾脏保存方法及其对肺炎球菌菌血症清除的影响。
Ann Surg. 1985 Nov;202(5):595-9. doi: 10.1097/00000658-198511000-00010.
7
Splenic trauma in children and techniques of splenic salvage.儿童脾外伤及脾挽救技术
World J Surg. 1985 Jun;9(3):398-409. doi: 10.1007/BF01655274.
8
Progress in pediatric trauma.小儿创伤的进展
World J Surg. 1985 Apr;9(2):222-35. doi: 10.1007/BF01656315.
9
Non-operative treatment in the management of traumatic lesions of the spleen--a new kind of therapy?脾脏创伤性损伤管理中的非手术治疗——一种新型疗法?
Jpn J Surg. 1989 Jul;19(4):468-73. doi: 10.1007/BF02471630.
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Evaluation of ultrasound, lavage, and computed tomography in blunt abdominal trauma.超声、灌洗及计算机断层扫描在钝性腹部创伤中的评估
Surg Endosc. 1989;3(3):152-8. doi: 10.1007/BF00591362.