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目的探讨用非手术方法治疗急性外伤性脾破裂的可行性及适应症选择。方法回顾性分析我院1989年7月至2008年8月间用非手术方法治疗37例急性外伤性脾破裂的临床资料及治疗结果。结果37例病人均经腹部超声检查或CT检查明确诊断,其损伤分级为I级损伤27例,II级损伤9例,III级损伤1例,有合并伤3例,经非手术治疗痊愈出院。结论用非手术方法选择性治疗急性外伤性脾破裂是一种较安全有效的治疗手段。
Objective To explore the feasibility and indications of non-surgical treatment of acute traumatic rupture of spleen. Methods A retrospective analysis of our hospital from July 1989 to August 2008 with non-surgical treatment of 37 cases of acute traumatic rupture of the clinical data and treatment results. Results Thirty-seven patients were diagnosed by abdominal ultrasonography or CT. The grade of injury was classified as Grade I injury in 27 cases, Grade II injury in 9 cases, Grade III injury in 1 case, and combined injury in 3 cases. The patients were discharged after non-surgical treatment. Conclusion Non-surgical selective treatment of acute traumatic rupture of the spleen is a safe and effective treatment.