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作者对178例外伤性脾破裂切脾患者作了临床分析和随访。发现术后感染率低(2.8％),10例为多发损伤死亡(5.6％),痊愈出院168例。获随访73例,时间2～24年,死于与脾切除无关者5例,并随机对部分患者作了血常规、血小板、免疫球蛋白及同位素脾扫描检查,发现患者的健康情况、免疫功能及有无副牌或残留脾组织再生三者间并无相互关系。作者认为外伤性脾破裂切脾仍是适宜的治疗方法。
The author of 178 cases of traumatic splenectomy and splenectomy patients were analyzed and followed up. Postoperative infection was found to be low (2.8%), 10 were multiple injuries (5.6%), and 168 were discharged. A total of 73 patients were followed up for 2 to 24 years. Five patients died of splenectomy. Blood samples, platelets, immunoglobulins and isotope spleen were also randomly selected for examination of some patients. The patients’ health condition, immune function And whether there is no relationship between the licensing or residual spleen tissue regeneration. The authors believe that traumatic splenic rupture of the spleen is still an appropriate treatment.