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脾破裂在腹部创伤中较为常见,自1893年Riegues首先创用脾切除洽疗外伤性脾破裂以后,90～100年来一直认为脾破裂后脾切除是唯一可行的手术方法。且认为:(1)脾切除对人体生理和生存无影响:(2)脾损伤常合并有不可控制的致命性大出血,因之广泛采用了脾切除方法,甚至表浅脾裂伤也成为脾切除的绝对指征。所以脾损伤后脾切除成为90多年来传统的外科治疗方法。但是,近20多年来于由脾切除术后暴发性感染的病例不断发生,切脾后致命性感染(Overwhelmi
Splenic rupture is more common in abdominal trauma. Since Riegues first used splenectomy in 1893 to treat traumatic rupture of the spleen, splenectomy after splenic rupture has been considered as the only feasible surgical method for 90-100 years. And that: (1) splenectomy on human physiology and survival had no effect: (2) splenic injury often associated with uncontrollable fatal bleeding, so extensive use of splenectomy, and even superficial splenic laceration also become splenectomy Absolute indication. Therefore, splenectomy after splenectomy has become more than 90 years of traditional surgical treatment. However, cases of fulminant infections after splenectomy have occurred over the past 20 years. Overwhelmi