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題 名 | 脾臟鈍挫傷之非手術治療=Nonoperative Management of Blunt Splenic Injury |
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作 者 | 曹明正; 孟繁勻; 陳建州; | 書刊名 | 醫學研究 |
卷 期 | 20:1 1999.08[民88.08] |
頁 次 | 頁46-52 |
分類號 | 416.14 |
關鍵詞 | 脾臟鈍挫傷; 非手術治療; Blunt splenic injury; Nonoperative management; |
語 文 | 中文(Chinese) |
中文摘要 | 隨著交通之日益頻繁,腹部鈍挫傷之病例屢見不鮮,而脾臟是腹部鈍挫傷中最易受傷之實質器官,在早期認為外傷性脾臟破裂出血唯一的治療方法是手術將脾臟摘除。在1952年,King和Shumacker 兩個學者發現年幼病人之脾臟摘除與術後之敗血症有密切關係,後續文獻報告,脾臟摘除後敗血症(overwhelming postsplenectomy infection OPSI)在成年病人的發生率約1-2%,而小孩子的發生率更高。死亡率約50-80%。由於對脾臟生理的了解及免疫學的進步,知道脾臟有過濾血液及清除血中抗原,疾病細胞與吞噬細胞之功能,更可調節T淋巴球及B淋巴球之平衡。脾臟摘除後,血中抗體(Antibody)、調理素(opsonin)、補體(complement)及吞噬作用(phagocytosis)都會發生變化,減低人體對外來細菌的免疫力,因此目前對脾臟外傷之處理漸趨保守,包括有非手術療法,外科修補及部份脾臟摘除等。本篇報告即將本院近年來脾臟鈍挫傷之非手術治療病例提出分析及探討。 |
英文摘要 | The blunt abdominal injury has become more prevalent than ever as the traffic developed heavier and the spleen is the most vulnerable solid organ. In earlier days, routine splenectomy remained the treatment of choice for splenic injury. In 1952, King and Shumacker found the life-threatening infection as a possible hazard of the asplenic state in neonates and infants. Subsequent reports documented that the incidence of overwhelming postsplenectomy infection (OPSI) for children. The mortality rate of OPSI is about 50-80%. Subsequently, much has been learned about the role of the spleen in immune function, it is capable of filtering and removing bacteria and senescent or diseased blood cells. Moreover it can also adjust the blance between T-cell and B-cell. After splenectomy, the function of antibody, opsonin, complement and phagocytosis will be changed and the immune defense will be consequently reduced. Thus, it led to a more conservation approach to the management of splenic injury, such as nonoperative management, splenorrhaphy and partial splenectomy. In this article. our cases of nonoperative management to blunt splenic injury in recent years will be discussed. |
本系統中英文摘要資訊取自各篇刊載內容。