Splenic injury: trends in evaluation and management.
作者： Karen J. Brasel , Christine M. DeLisle , Christine J. Olson , David C. Borgstrom
DOI: 10.1097/00005373-199802000-00006
关键词:
摘要: Background: Changing methods of evaluating blunt abdominal trauma and expanding selection criteria for nonoperative management (NOM) splenic injury can increase the number patients managed nonoperatively without affecting success rates. Methods: The charts 164 with injuries from July 1, 1991, to June 30, 1996, were reviewed. Thirty-eight excluded because immediate laparotomy adjunctive tests or expiration in resuscitative period. Injuries graded according Organ Injury Scale. Results: Overall, successful NOM occurred 84% (73 87). was 5 7 >55 years old 14 15 Glasgow Coma Scale scores 55 abnormal neurologic status should not preclude NOM, related only grade.
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Charles W. Hauser, James W. LaFave, Harlan D. Root, C. Richard McKinley, Ramon P. Mendiola, DIAGNOSTIC PERITONEAL LAVAGE. Surgery. ,vol. 57, pp. 633- 637 ,(1965) , 10.5555/URI:PII:0039606065900310
Philip D. Feliciano, Richard J. Mullins, Donald D. Trunkey, Richard A. Crass, J. Robert Beck, Mark Helfand, A decision analysis of traumatic splenic injuries. Journal of Trauma-injury Infection and Critical Care. ,vol. 33, pp. 340- 348 ,(1991) , 10.1097/00005373-199209000-00002
Lauren P Archer, Frederick B Rogers, Steven R Shackford, Selective Nonoperative Management of Liver and Spleen Injuries in Neurologically Impaired Adult Patients Archives of Surgery. ,vol. 131, pp. 309- 315 ,(1996) , 10.1001/ARCHSURG.1996.01430150087017
Paul Tso, Aurelio Rodriguez, Carnell Cooper, Philip Militello, Stuart Mirvis, Michael M. Badellino, Bernard R. Boulanger, Frederick A. Foss, Douglas M. Hinson, Hugh E. Mighty, David V. Nasrallah, A. Jay Raimonde, William D. Yates, James V. Yuschak, Sonography in blunt abdominal trauma: a preliminary progress report. Journal of Trauma-injury Infection and Critical Care. ,vol. 33, pp. 39- 44 ,(1991) , 10.1097/00005373-199207000-00009
Grace S. Rozycki, M. Gage Ochsner, Judy A. Schmidt, Heidi L. Frankel, Thomas P. Davis, Dennis Wang, Howard R. Champion, A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. Journal of Trauma-injury Infection and Critical Care. ,vol. 39, pp. 492- 500 ,(1995) , 10.1097/00005373-199509000-00016
D.E. Wesson, R.M. Filler, S.H. Ein, B. Shandling, J.S. Simpson, C.A. Stephens, Ruptured spleen—When to operate?† Journal of Pediatric Surgery. ,vol. 16, pp. 324- 326 ,(1981) , 10.1016/S0022-3468(81)80689-6
ANDREA RESCINITI, MITCHELL P. FINK, VASILLIOS RAPTOPOULOS, ASHLEY DAVIDOFF, WAYNE E. SILVA, Nonoperative treatment of adult splenic trauma: development of a computed tomographic scoring system that detects appropriate candidates for expectant management. Journal of Trauma-injury Infection and Critical Care. ,vol. 28, pp. 828- 831 ,(1988) , 10.1097/00005373-198806000-00019
WILLIAM L. BUNTAIN, HOWARD R. GOULD, KIMBALL I. MAULL, Predictability of splenic salvage by computed tomography. Journal of Trauma-injury Infection and Critical Care. ,vol. 28, pp. 24- 34 ,(1986) , 10.1097/00005373-198801000-00004
J. Stanley Smith, Mark A. Wengrovitz, Brian S. DeLong, Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen. Journal of Trauma-injury Infection and Critical Care. ,vol. 33, pp. 363- 369 ,(1992) , 10.1097/00005373-199209000-00005
WALTER E. LONGO, CHRISTOPHER C. BAKER, MARVIN A. McMILLEN, IRVIN M. MODLIN, LINDA C. DEGUTIS, KARL A. ZUCKER, Nonoperative management of adult blunt splenic trauma. Criteria for successful outcome. Annals of Surgery. ,vol. 210, pp. 626- 629 ,(1989) , 10.1097/00000658-198911000-00010