<原著>近畿大学救命救急センターにおける鈍的脾臓損傷症例の検討

概要

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Of fifteen patients who had the blunt splenic injuries, there were fourteen males and one female. Ten of the patients required surgical treatments. The injuries were mostly due to traffic accidents. The clinical signs and symptoms of the traumatic shock, physical examinations, extraabdominal injuries, computed tomography (CT), laboratory data and blood transfusion volume were compared between the operated group (10 patients) and non-operated group (5 patients). First of all, most of the operated cases (8 of 10 patients) had the signs and symptoms of the traumatic shock. The two patients without the shock had the severe Blumberg's sign before emergency operations. There was little difference between the two groups on CT findings and laboratory data. The mean blood transfusion volume was 4,968±4,640 ml in the operated group and 443±496 ml in the non-operated group. There was such statistically significant difference (p<0.05) in blood transfusion. In the non-operated group, they had few extraabdominal injuries and in the operated patients without splenectomy, they had few abdominal injuries except for the spleen.
近畿大学の論文
1988-12-25