摘要
目的研究分析外伤性脾破裂患者接受手术治疗的临床效果,探讨患者的预后情况。方法根据2012～2014年我院接收的56例脾破裂患者来进行研究分析,将这些患者分成手术和非手术两组,采取非手术和手术治疗,比较分析两组患者经过治疗后的情况,预后效果等等。结果手术组患者治疗痊愈的为23例,占比例的82.1%;好转的为5例,占比例的17.9%;无死亡病例。非手术组治疗痊愈的为14例,占比例的50%;好转的为13例,占比例的46.4%;1例死亡病例,占比例的3.6%,其中非手术组患者在治疗过程中有6例转为开腹手术,P〈0.05为差异具有统计学意义。结论外伤性脾破裂患者临床中接受手术治疗的效果突出,患者的生命得以挽救,对合并严重外伤的患者使用效果优秀,临床中治疗以抢救为主,挽救患者的生命,然后考虑是否保留脾脏。
Objective To study the clinical effect of surgical treatment for traumatic rupture of spleen,and to investigate the prognosis of patients.Methods According to the 2012 to 2014 in our hospital received 56 cases of patients with traumatic spleen rupture to conduct research and analysis,these patients were divided into two groups of surgical and non-surgical,adopt nonoperative and operative treatment,compared two groups of patients after treatment effect,prognosis and so on.Results The surgical groups of patients in the treatment of 23 cases,the proportion of 82.1%,improve for 5 cases,the proportion of 17.9%,no deaths.Group nonsurgical cured for 14 cases,accounted for 50% of the,improved in 13 cases,accounted for 46.4%,1 cases of deaths,accounted for 3.6%,which nonsurgical groups of patients in the treatment process have 6 cases converted to laparotomy,P〈0.05 considered statistically significant difference.Conclusion Traumatic splenic rupture patients received surgical treatment effect of very prominent,patient＇s life is saved,for patients with severe trauma patients use effect is more outstanding,clinical treatment to save as,save the patient＇s life,then consider whether to retain the spleen.
出处
《中国继续医学教育》
2015年第17期92-93,共2页
China Continuing Medical Education
关键词
手术治疗
外伤性脾破裂
疗效
Surgical treatment
Traumatic rupture of spleen
Efficacy
