脾动脉结扎伴脾修补治疗外伤性脾破裂（Splenic artery ligation combined with splenic repair for traumatic splenic rupture）.docVIP

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脾动脉结扎伴脾修补治疗外伤性脾破裂（Splenic artery ligation combined with splenic repair for traumatic splenic rupture）.doc

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脾动脉结扎伴脾修补治疗外伤性脾破裂（Splenic artery ligation combined with splenic repair for traumatic splenic rupture）

脾动脉结扎伴脾修补治疗外伤性脾破裂（Splenic artery ligation combined with splenic repair for traumatic splenic rupture） Splenic artery ligation combined with splenic repair for traumatic splenic rupture Update Date: 2010-08-04 Zhang Yue In 1952, King and Schumacker confirmed the association between splenectomy and fulminant sepsis for the first time, and a thorough study of splenic immune function has confirmed that the spleen is an important immune organ. Therefore, as far as possible the implementation of security operation has become the main melody of temper treatment of splenic injury. From January 1988 to December 1996, 32 cases of traumatic splenic rupture were treated with splenic artery ligation and splenic repair, and the results were satisfactory. It is hereby reported as follows. Clinical data and methods 1. general data: among the 32 cases, there were 25 males and 7 females, aged 17~51 years, average 32.5 years old. There were 16 cases of car accident, 12 cases of falling injury and 4 cases of assault injury. There were no other abdominal organs complicated injuries in the whole group, all of them were blunt injuries. All patients were admitted within 10 hours of injury. There were 10 cases with shock at admission, all of whom were able to restore hemodynamic stability by early rapid expansion. Grading of splenic injury: according to the grading criteria of American Society of Traumatology, 8 cases were grade I, 16 cases were secondary, and 8 cases were third grade. 2. operation method: to cut the omentum sac, to separate the splenic and splenic ligaments, and to approach the splenic artery at the upper edge of the pancreatic tail, to cut the peritoneum and the artery sheath, to free the splenic artery 1cm, and to observe the splenic blood flow by temporary interruption. If there is no obvious ischemic change, ligature here with 7-0 threads. After splenic artery ligation, it can be seen that the bleeding at the rupture of spleen is obviously reduced or stopped. The splen