摘要
脾脏有多种重要的生理功能和免疫功能 ,因此保脾术变得越来越重要 ,尤其在小儿显得更为重要 ,因为小儿的全身凶险感染 (Overwhelmingpostsplenectomyinfection ,OPSI)发生率较成人高 6 0倍。本文复习了近十年来的国内外有关保脾术的最新资料 ,详细介绍了脾脏损伤的多种诊断方法及其保留方法。至于每种方法的优劣还有待我们在临床实践中去探讨、体会 (如每种适应证如何选择、并发症如何避免等 ) 。
The spleen has many important physiologic and immunologic functions. So spleen savage has become more and more prevalent,especially in children,because the occurrence rate of OPSI is 60 times higher than that of adult. We reviewed the foreign and Chinese literatures with regard to spleen savage in recent decade. A great deal of diagnostic methods and savage strategies of spleen rupture are described in detail in this article. Concerning their advantage and disadvantage, we need to gradually explore and understand their advantage and disadvantage during our clinical practice such as how to choose spleen savage indicator and avoid complications,We believe that spleen surgery will become more perfect within a few years.
出处
《创伤外科杂志》
2003年第3期235-237,共3页
Journal of Traumatic Surgery
关键词
脾脏损伤
保脾术
动脉栓塞术
spleen injury
reserved splenectomy
artery embolization