病人男性 ,34岁。以失血性休克、外伤性脾破裂收住院。病人既往身体健康 ,否认肝病及出血史。入院扩容治疗后血压升至 1 4 / 1 0ｋＰａ ,行紧急剖腹探查术。手术探查脾脏损伤较重 ,难以修复 ,行脾切除术 ,探查其它脏器无损伤后关腹。术中病人血压平稳 ,手术历时 1小时 2 0分钟 Patient Male, 34 years old. To hemorrhagic shock, traumatic splenic rupture admitted to hospital. Past patient’s health, denied the history of liver disease and bleeding. Blood pressure rose to 14 / 10kPa after admission and expansion, and emergency laparotomy was performed. Surgical exploration of spleen injury heavier, difficult to repair, splenectomy, probing other organs without injury after the abdomen. Intraoperative blood pressure was stable, the operation lasted 1 hour 20 minutes