Logistic analysis of impact factors of treatment decision: a study on 147 patients with traumatic ruptured spleen
10.3760/cma.j.issn.1007-8118.2013.01.016
- VernacularTitle:147例外伤性脾破裂治疗决策的影响因素分析
- Author:
Quan BIAN
;
Bu DING
;
Junping GU
;
Shengli LIU
;
Yongjie ZHAO
;
Feng WANG
;
Ximo WANG
- Publication Type:Journal Article
- Keywords:
Splenic rupture;
Splenectomy;
Palliative care
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(1):52-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of treatment on traumatic ruptured spleen in a regional medical center in Tianjin,China.Method Logistic analysis of 16 impact ffactors of treatment decision on 147 patients with traumatic ruptured spleen.Results The type of trauma,pulse rate at admission,result of abdominal puncture and CT grade were related to treatment decision making.Splenectomy was carried out in 89 patients (60.54％) which accounted for 89.90％ of all surgical procedures.Splenectomy was carried out in 50.85％ of patients with CT grade 1 or 2 (or 85.71％ of grade 1 and 2 surgery),and 100％ of CT grade 3 or 4.Spleen preservation surgery was carried out in 7 patients with CT grade 1 or 2.Conclusion Splenectomy was carried out in most cases in this study.It is necessary to investigate the treatment of splenic trauma in regional medical centers,and to develop more reliable surgical techniques to carry out more spleen-preservation surgery ffor CT grade 1 or 2 ruptured spleen.
