保守治疗儿童Ⅰ～Ⅲ级外伤性脾破裂48例

摘要

目的:探讨儿童外伤性脾破裂保守治疗的可行性及必要性.方法:回顾性分析48例儿童外伤性脾破裂保守治疗的临床资料.结果:5例患儿在保守治疗中出现血压下降及腹部多脏器损伤而中转手术,保守治疗成功的43例中有4例因过早下床活动而再出血,经再次保守治疗而痊愈,保守治疗成功率为89.6％,无患儿死亡,病死率为0.结论:在有条件的医疗单位,对脾损伤Ⅰ～Ⅱ级及部分Ⅲ级患儿行保守治疗较为安全.%Objective:To discuss feasibility and necessity of non-operative management of children splenic injuries. Methods: Retrospective analysis of clinical data to 48 cases children splenic injuries using non-operative management. Results:5 cases operated because emerging from blood pressure descent and other organ injuries. 43 cases used non-operative management, achievement ratio was 89. 6% and fatality ration was 0%. 4 of 43 cases produced rehaemorrhagia as exercising too early. Conclusion:Non-operative management of children splenic injuries was security and necessity to grade I～II or III injury of spleen in some hospitals.