Analyse selective non-operative management of closed splenic injuries in 98 cases
10.3969/j.issn.1671-8348.2013.23.019
- VernacularTitle:选择性非手术治疗闭合性脾损伤98例临床分析
- Author:
Zhongwen ZHAO
;
Xiaolin LIU
;
Xianjin XIA
;
Wenshan LI
;
Jiangbo DAI
- Publication Type:Journal Article
- Keywords:
spleen;
injure;
non-operative management;
selection;
analysis
- From:
Chongqing Medicine
2013;(23):2750-2751
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discusses the methods of the case selection and monitoring and diagnosis and treatment to selective non-operative management of closed splenic injuries .Methods The clinical data and results of 98 cases from October 1999 to Octo-ber 2011 with closed splenic injuries managed non-operative treatment were analyzed retrospectively .Results There were 90 cases (91 .8% ) conservative successfully ,5 cases(5 .1% ) transit operation because hematoma increase and bleeding continuously during therapeutic observation and 2 cases(3 .1% ) died from multiple injuries merge infection and multiple organ failure .Conclusion Most of the closed splenic injuries below level Ⅱcan be treated by non-operative management ,the effect and prognosis determined by the reasonable case selection and monitoring conditions and diagnosis and treatment .
