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目的:探讨儿童腹部闭合伤伴脾破裂的非手术治疗方法及临床效果。方法:回顾性总结我科共收治经B超和/或CT检查证实伴脾破裂的腹部闭合伤患儿15例资料。结果:所有患儿治疗后均成功获得随访:全部病例均一期治愈,无中转手术。其中12例平均输注红细胞2.5u,平均住院天数14.3d,全组无与肝、脾损伤相关的并发症发生。另外,治疗后患儿的红细胞压积均值为(42.5±9.4)%,血红蛋白含量均值为(120.4±18.2)g/L,与治疗前相比,差异具有统计学意义(P<0.05)。结论:儿童腹部闭合伤伴脾破裂的非手术治疗是切实可行的,具有很好的社会效果,在符合条件的情况下可作为治疗儿童腹部闭合伤伴脾破裂的首选方法。
Objective: To investigate the non-surgical treatment and clinical effect of closed abdominal injury with splenic rupture in children. Methods: A retrospective review of 15 cases of children with abdominal closed injury confirmed by B- and / or CT in our department. Results: All children were successfully followed up after treatment: All patients were cured in one phase without any surgery. Among them, the average number of transfused erythrocytes was 2.5u in 12 cases and the average length of hospital stay was 14.3 days. There was no complication related to liver and spleen injury in the whole group. In addition, the average value of hematocrit in children after treatment was (42.5 ± 9.4)% and the average hemoglobin content was (120.4 ± 18.2) g / L, with statistical significance (P <0.05). CONCLUSION: The non-surgical treatment of closed abdomen injury and splenic rupture in children is feasible and has good social effects. It can be used as the preferred method to treat children’s abdominal closed injury with splenic rupture if the conditions are right.