Non-operative management of adult blunt splenic injuries / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 246-248, 2006.
Article
en En
| WPRIM
| ID: wpr-280902
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the indication of non-operative management of adult blunt splenic injuries.</p><p><b>METHODS</b>A retrospective review was performed on all adult patients (age>15 years) with blunt splenic injuries admitted to the department of vascular surgery of Pellegrin hospital in France from 1999 to 2003. We managed splenic injuries non-operatively in all appropriate patients without regard to age.</p><p><b>RESULTS</b>During the 4 years, 54 consecutive adult patients with blunt splenic injuries were treated in the hospital. A total of 27 patients with stable hemodynamic status were treated non-operatively at first, of which 2 patients were failed to non-operative treatment. The successful percentage of non-operative management was 92.6%. In the 54 patients, 7 of 8 patients older than 55 years were treated with non-operative management. Two cases developing postoperatively subphrenic infection were healed by proper treatment. In the series, there was no death.</p><p><b>CONCLUSIONS</b>Non-operative management of low-grade splenic injuries can be accomplished with an acceptable low-failure rate. If the clinical and laboratory parameters difficult for surgeons to make decisions, they can depend on Resciniti's CT (computed tomography) scoring system to select a subset of adults with splenic trauma who are excellent candidates for a trial of non-operative management. The patients older than 55 years are not absolutely inhibited to receive non-operative management.</p>
Texto completo:
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Base de datos:
WPRIM
Asunto principal:
Bazo
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Cirugía General
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Terapéutica
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Heridas y Lesiones
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Heridas no Penetrantes
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Traumatismo Múltiple
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Estudios Retrospectivos
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Hematócrito
Tipo de estudio:
Observational_studies
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Prognostic_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Chinese Journal of Traumatology
Año:
2006
Tipo del documento:
Article