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目的探讨儿童延迟性脾破裂的诊疗特点。方法对近5年来我院收治的7例儿童延迟性脾破裂的诊断和治疗进行回顾性分析。结果 7例中4例行脾切除术,其中3例行自体脾移植,3例行脾修补术,术后未发生暴发性感染,均痊愈。结论儿童延迟性脾破裂容易误诊,应掌握其发生机理,提高对本病的认识和警惕性。切除脾脏后如术中患儿情况许可,可行自体脾脏游离移植术。
Objective To investigate the diagnosis and treatment of delayed splenic rupture in children. Methods The diagnosis and treatment of delayed splenic rupture in 7 children admitted in our hospital in the recent 5 years were retrospectively analyzed. Results Of the 7 cases, splenectomy was performed in 4 cases, of which 3 cases were treated with splenic autotransplantation and 3 cases were treated with splenectomy. No postoperative infection was found, and all were cured. Conclusion Delayed splenic rupture in children is easily misdiagnosed, and its mechanism of occurrence should be mastered to raise awareness and vigilance on this disease. After resection of the spleen, if the circumstance of the child is permissible, free spleen transplantation is feasible.