EXPERIENCE WITH THE MANAGEMENT OF SPLENIC INJURIES*

Australian and New Zealand Journal of Surgery - Tập 54 Số 5 - Trang 443-445 - 1984
Robert M. Filler1
1The Hospital for Sick Children, and University of Toronto, Torono, Ontario, Canada

Tóm tắt

This paper reviews the experience of treating 128 patients with splenic trauma over a 10 year period. All patients were aged under 16 years and all except one had sustained non‐penetrating abdominal injuries. The diagnosis was established at operation or by spleen scan or by angiography but the decision to operate was made on clinical grounds. Patients who were stable on admission or after initial resuscitation were managed expectantly. In patients requiring surgery for massive bleeding or for other injuries the spleen was repaired whenever possible. Only 29% of patients required operation and in three quarters of these patients the spleen was able to be preserved. Delayed rupture of the spleen did not occur in the non‐operative group and septic complications have not been observed in any survivors. There were 14 deaths in the series, 11 from severe head injury and three from massive haemorrhage.

Từ khóa


Tài liệu tham khảo

Kocher E. T., 1980, Quoted in Sherman R: Perspectives in management of trauma to the spleen: Presidential address to the American Association for the Surgery of Trauma, J. Trauma, 20, 1

Singer D. E., 1973, Postsplenectomy sepsis, Perspect. Pediat. Pathol., 1, 285

Upadhyaya P., 1968, Splenic trauma in children, Surg. Gynecol. Obstet., 126, 781

10.1016/S0022-3468(81)80689-6

10.1097/00005373-197611000-00006

10.1016/0022-3468(71)90380-0

10.1016/S0022-3468(78)80001-3

10.1111/j.1445-2197.1977.tb04263.x

Aronson D. Z., 1977, Nonoperative management of splenic trauma in children: A report of six consecutive cases, Pediatrics, 60, 482, 10.1542/peds.60.4.482

Thông tin
Thông tin xuất bản

Australian and New Zealand Journal of Surgery

Tập 54 Số 5

443-445

Thông tin tác giả