Liu P P, Chou F F, Sheen-Chen S M, Chen Y S, Chen M J, Chen F C
Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1994 Jun;17(2):125-30.
From March 1986 to October 1991, there were 97 patients undergoing splenectomy for traumatic spleen injury at Chang Gung Memorial Hospital at Kaohsiung. Their ages ranged from 6 to 73 years with a mean of 39. The most common cause was blunt abdominal trauma (94/97). Sixty-five patients received splenectomy only and thirty-two patients had other operative procedures in addition to splenectomy. The most common complication in this study was intraabdominal abscess (7/97); followed by respiratory problems (5/97); postoperative hemorrhage (3/97) and wound infection (3/97). Postsplenectomy sepsis occurred in one case. There were nine cases of in-hospital mortality. Sepsis, prolonged shock and severe head injury were the main causes of death.
1986年3月至1991年10月，高雄长庚纪念医院有97例因外伤性脾损伤接受脾切除术的患者。他们的年龄在6岁至73岁之间，平均年龄为39岁。最常见的病因是钝性腹部外伤（94/97）。65例患者仅接受了脾切除术，32例患者除脾切除术外还进行了其他手术。本研究中最常见的并发症是腹腔内脓肿（7/97）；其次是呼吸问题（5/97）；术后出血（3/97）和伤口感染（3/97）。脾切除术后败血症发生1例。有9例住院死亡。败血症、长时间休克和严重颅脑损伤是主要死亡原因。
