Diagnosis and treatment of delayed rupture of the spleen: analysis of 32 cases
- VernacularTitle:迟发性脾破裂32例诊治分析
- Author:
Heqing FANG
;
Yingbin LIU
;
Bin XU
- Publication Type:Journal Article
- Keywords:
Splenic rupture;
Punctures;
Tomography, X-ray computered;
Ultrasonography
- From:
Chinese Journal of Trauma
2003;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore effective methods of diagnosis and treatment for delayed rupture of the spleen (DRS) through retrospective analysis of 32 cases. Methods A retrospective study was done in 32 cases with DRS. The effects of CT, ultrasound and diagnostic peritoneal lavage on diagnosis of DRS was observed and compared. Results Splenectomy was performed in 26 cases, among which one died four days after splenectomy because of complicated brain injury and six given conservative treatment under continuous monitoring discharged. The mean hospitalization duration was 18.5 days. Conclusions Diagnostic peritoneal lavage can improve the positive rate of peritoneal puncture. Ultrasound is an important method for diagnosing DRS and closely monitoring the patients receiving conservative treatment.
