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頁籤選單縮合
題名 | Complications of Splenectomy for Splenic Injury=外傷後脾臟摘除之併發症 |
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作者 | 劉柏屏; 周逢復; 沈陳石銘; 陳耀森; 陳茂展; 陳豐基; |
期刊 | 長庚醫學 |
出版日期 | 19940600 |
卷期 | 17:2 1994.06[民83.06] |
頁次 | 頁125-130 |
分類號 | 416.14 |
語文 | eng |
關鍵詞 | 外傷; 脾臟摘除; 併發症; Splenectomy; Postsplenectomy sepsis; |
中文摘要 | 自民國75年3月到民國80年10月期間,共有97位病人在高雄長庚紀念醫院,因脾臟受傷而接受脾臟摘除術。前述病人的年齡分佈從6歲到73歲,平均年齡為39歲。 在本次研究中,造成脾臟受傷最普遍的原因是腹部鈍傷。97位病人中,有94位是因腹部鈍傷引起。有65位病人僅接受脾臟摘除手術,而其餘32位病人則因合併其他臟器受傷,同時接受脾臟摘除及其他手術。 在本次研究中,最多的合併症是腹內膿瘍,共有7例。其次是呼吸道方面的合併症有5例;手術後出血和傷口感染各佔3例;脾臟摘除術後敗血症有1例。 住院中共有9位病人死亡,敗血症及休克是兩大死因,而嚴重的頭部外傷也是造成死方的另一個重要因素。 |
英文摘要 | From March 1986 to October 1991, three were 97 patients undergoing splenectomy for traumatic spleen injury at Chang Gung Memorial Hospital at Kaohsiung. Their ages ranged from 6 to 73 years with a mean of 39. The most common cause was blunt abdominal trauma (94/97). Sixty-five patients received splenectomy only and thirty-two patients had other operative procedures in addition to splenectomuy. The most common complication in this study was intraabdominal abscess (7/97); followed by respiratory problems (5/97); postoperative hemorrhage (3/97). Postsplenectomy sepsis occurred in one case. There were nine cases of in-hospital mortality. Sepsis, prolonged shock and severe head injury were the main causes of death. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。