摘要
目的分析腹腔镜下脾切除术加自体血回输治疗外伤性脾破裂方法及安全性、可行性和临床意义。方法回顾性分析我院2015年5月—2018年4月36例外伤性脾破裂患者行腹腔镜脾脏切除+自体血回输的资料。结果腹腔镜脾切除手术(Laparoscopic splenectomy,LS)手术时间为30~100 min,平均65 min,均未出现中转开腹,出血量800 mL^2500 mL不等,术后10例出现左胸少量胸腔积液,3例出现肺部感染,术后麻醉清醒即可拔出胃管,术后2 d下地活动、进食,3 d拔除引流管,术后住院6~12 d,平均(8.4±2.4)d,均无脾窝积液、胰漏、出血、暴发感染、血栓等并发症。结论腹腔镜下脾破裂切除+自体血回输治疗外伤性脾破裂是安全的、可行的,具有创伤小、康复快、住院时间短,手术效果理想。
Objective To analyze the method,safety,feasibility and clinical significance of laparoscopic splenectomy and autotransfusion in the treatment of traumatic splenic rupture.Methods The data of laparoscopic splenectomy+autotransfusion in 36 patients with traumatic splenic rupture from May 2015 to April 2018 were analyzed retrospectively.Results The operation time of laparoscopic splenectomy(LS)was 30~100 min,with an average of 65 min,without conversion to laparotomy.The amount of bleeding varied was from 800 to 2500 mL.10 patients after the operation had a small amount of pleural effusion in the left chest,3 patients had pulmonary infection,and the gastric tube could be pulled out after anesthesia and soberness.They could move and eat and go underground 2 days after the operation,and the drainage tube was pulled out 3 days after the operation.They were hospitalized 6~12 days after the operation.The average time was(8.4±2.4)d,and no complications such as effusion of spleen fossa,leakage of pancreas,hemorrhage,outbreak of infection and thrombus were found.Conclusion Laparoscopic splenectomy+autotransfusion is safe and feasible in the treatment of traumatic splenic rupture.It has the advantages of small trauma,quick recovery,short hospital stay and ideal operation effect.
作者
罗金泉
黄凤英
LUO Jinquan;HUANG Fengying(Department of General Surgery,Jinjiang Hospital Jinnan Branch,Jinjiang Fujian 362241,China;Department of Obstetrics and Gynecology,Jinjiang Hospital of Traditional Chinese Medicine,Jinjiang Fujian 362200,China)
出处
《中国卫生标准管理》
2020年第4期50-51,共2页
China Health Standard Management
关键词
腹腔镜
脾切除术
自体血回输
外伤
脾破裂
临床体会
laparoscopy
splenectomy
autologous blood transfusion
trauma
splenic rupture
clinical experience
