论文部分内容阅读
目的 探讨小儿延迟性脾破裂的发生机理、诊断与治疗。方法 总结１６ 年来收治的６例小儿延迟性脾破裂的临床资料，６ 例均为腹部闭合性损伤，伤后出现脾破裂症状的时间均在４８ 小时以上，经腹穿、ＣＴ 或Ｂ超确诊，手术证实。结果 ６ 例中５ 例行脾切除术，１ 例行脾修补术，术后未发生暴发性感染，均痊愈。结论 小儿延迟性脾破裂容易误诊，应掌握其发生机理，提高对本病的认识和警惕性。有价值的影像学检查是提高诊断率、降低病死率的关键
Objective To investigate the pathogenesis, diagnosis and treatment of delayed splenic rupture in children. Methods Six cases of pediatric delayed rupture of the spleen ruptured in the past 16 years were summarized. All the 6 cases were closed abdominal injuries. The time of the splenic rupture after injury was more than 48 hours. The patients were confirmed by abdominal perforation, CT or B-ultrasound, Surgery confirmed. Results Of the 6 cases, 5 cases underwent splenectomy and 1 case underwent splenectomy. No postoperative infection occurred and all were cured. Conclusion Delayed splenic rupture in children is easily misdiagnosed, and its mechanism of occurrence should be grasped to raise awareness and vigilance of the disease. Valuable imaging examination is to improve the diagnostic rate and reduce the mortality of the key