Blunt splenic trauma

被引：18
|
作者：
Forsythe, R. M. [1 ]
Harbrecht, B. G. [1 ]
Peitzman, A. B. [1 ]
机构：
[1] Univ Pittsburgh, Med Ctr, Dept Med, Dept Surg, Pittsburgh, PA 15213 USA
来源：
SCANDINAVIAN JOURNAL OF SURGERY | 2006年 / 95卷 / 03期
关键词：
abdominal trauma; spleen; blunt splenic injury; nonoperative management; angioembolization; splenic salvage;
D O I：
10.1177/145749690609500303
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The treatment of blunt splenic injury has evolved over time from splenectomy in all patients to nonoperative management in stable patients with operation reserved for failures of NOM. While rates of OPSI remain low in trauma patients, splenic salvage in stable patients should be attempted. However, clinical evidence of ongoing blood loss or instability should be addressed with prompt splenectomy. Careful patient selection is of paramount importance in nonoperative management of blunt splenic injury.
引用
收藏
页码：146 / 151
页数：6
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