目的探讨在条件有限的基层医院中脾破裂患者的诊疗方法.方法回顾性分析瓦努阿图共和国维拉中心医院8年间住院的317例脾破裂患者的临床资料,分析B超诊断的出血情况和非手术治疗、手术治疗的结果.结果 B超诊断被膜下出血者30例,真性脾破裂者287例.参考B超结果对29例患者采用非手术治疗,288例采用手术治疗.结论 B超诊断脾破裂阳性率高,诊断出血量与手术结果较符合;参考B超结果选择符合脾切除术指征的病例进行手术是治疗脾破裂确切有效的手段.
ObjectiveTo discuss the diagnosis and treatment of rupture of spleen in a base-level hospital with limited conditions. MethodsThe clinical data, diagnosis of bleeding by ultrasound, and results of (nonoperative) and operative treatment of 317 patients with rupture of spleen in Vila Central Hospital of the (Republic) of Vanuatu were retrospectively analyzed. ResultsUltrasound diagnosed 30 patients with (subcapsular) hemorrhage and 287 patients with true rupture of spleen. Based on ultrasound results, (conservative) treatment was used for 29 patients and 288 patients underwent operation. Conclusions(Ultrasonography) had a high positive diagnostic rate for rupture of spleen, and the diagnosis of bleeding volume was consistent with the findings at operation. The findings on ultrasonography can be considered in selection of cases with appropriate indications for splenectomy. Ultrasonography is an effective method for use in the (treatment) of rupture of spleen.
Chinese Journal of General Surgery