| 叶广坡,项和平,李贺,高明.外伤性脾破裂的外科诊治进展[J].中国临床保健杂志,2017,20(6):762-764. |
| 外伤性脾破裂的外科诊治进展 |
| Progress of diagnosis and surgical treatment of traumatic spleen rupture |
| 投稿时间：2017-01-05 |
| DOI：10.3969/J.issn.1672-6790.2017.06.039 |
| 中文关键词: 脾破裂 脾切除术 腹腔镜检查 |
| 英文关键词: Splenic rupture Splenectomy Laparoscopy 〖FL |
| 基金项目:安徽省自然科学基金(1508085SMH225) |
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| 中文摘要: |
| 外伤性脾破裂易导致失血性休克,病情危急,需要早期诊治。腹部B超和CT检查是明确诊断脾破裂的主要依据,并能提示脾损伤的部位和程度。外科手术是救治外伤性脾破裂的方法之一,关键在于快速全面的诊断伤情,把握手术指征,正确安排救治的先后次序,采取合适的手术方式,实施个体化治疗。全脾切除术是各种脾破裂治疗方法的基本保证,但术后并发症较多,人体免疫功能受损；各类保脾手术和全脾切除+自体脾片组织移植术,能够保留全部或部分脾脏,从而保留脾功能；腹腔镜手术是一种微创的诊断与治疗脾破裂的方法,符合损伤控制性手术原则,具有重要的临床意义。 |
| 英文摘要: |
| Traumatic spleen rupture often leads to hemorrhagic shock and need early diagnosis and treatment.Abdominal ultrasonography and CT are the main methods in diagnosis of traumatic spleen rupture and them can indicate the location and extent of spleen trauma.Surgical operation is one of the methods used in treatment of traumatic spleen rupture.The key of surgical operation in traumatic spleen rupture lies in not only fast,general diagnosis but also master the operation indications,the sequence of treatment and individualized operation approaches.Total splenectomy is the essential in treatment of traumatic spleen rupture but there exists more complication and impaired immune function.Operation of reserving spleen and splenectomy plus autologous spleen tissue transplantation can preserve total or partial spleen and its function.Laparoscopic surgery known as a minimally invasive procedure in diagnosis and treatment of traumatic spleen rupture complies with principal of damage control surgery and important clinical significance. |
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