Ionescu G O, Tuleascá I, Popovici A
Chir Pediatr. 1984;25(6):329-32.
The authors present 34 cases of the traumatic hemoperitoneum with nonoperative/conservative treatment followed up in the past five years. The cases of hemoperitoneum are divided into three categories: hemorrhagic shock; stable clinic status; unstable clinic status. The first category included the cases of operational emergency, the other two categories were treated in the intensive care unit; the most of them needed no operation. The punction and punction-lavage of the peritoneum was systematically carried out and it was a therapeutic step of draining out the blood and appreciating the importance of hemoperitoneum. If laparotomy was requested initially or later on, a conservative surgery was used: spleen-hepatorrhaphy, partial splenectomy, selective arterial ligations, splenic replantation.
作者介绍了过去五年中接受非手术/保守治疗并随访的34例创伤性腹腔积血病例。腹腔积血病例分为三类：失血性休克；临床状况稳定；临床状况不稳定。第一类包括急诊手术病例，其他两类在重症监护病房治疗；其中大多数无需手术。系统地进行了腹腔穿刺和腹腔灌洗，这是排出血液并认识腹腔积血重要性的治疗步骤。如果最初或后来需要开腹手术，则采用保守手术：脾肝缝合术、部分脾切除术、选择性动脉结扎术、脾再植术。
