What Is Splenic Trauma?

(1) Abdominal pain: After the injury, the pain in the left upper abdomen gradually extended to the lower abdomen, resulting in dull pain in the entire abdomen, which was persistent. One third of the wounded had left shoulder pain (Kebr sign). Subcapsular rupture can occur from days to tens of days after injury.

Spleen trauma

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nickname
Spleen trauma
Visiting department
Internal medicine
Common locations
stomach ache
treatment method
Splenectomy
(1) Abdominal pain: After the injury, the pain in the left upper abdomen gradually extended to the lower abdomen, resulting in dull pain in the entire abdomen, which was persistent. One third of the wounded had left shoulder pain (Kebr sign). Subcapsular rupture can occur from days to tens of days after injury.
(2) The left upper abdomen, lower abdomen and even the whole abdomen have tenderness, mild muscle tension and rebound pain. Often accompanied by a fracture of the left lower rib.
(3) Abdominal puncture or lavage can extract non-coagulated blood. In a few cases that are uncertain, and those who are in good general condition, they can be diagnosed by ultrasound, CT scan or abdominal angiography. [1]
(1) Splenectomy: It is applicable to a large number of wounded, smashed spleen rupture, multiple spleen rupture combined with multiple body injuries, and other objective conditions and techniques do not allow detailed spleen repair.
Disadvantages: In recent years, studies have found that the injured patients have low immune function after splenectomy, increase their susceptibility to severe infections throughout their lives, and are prone to acute fulminant sepsis and meningitis. Infants and young children are more prone to infectious complications after splenectomy.
(B) spleen repair: suitable for spleen laceration, wounds are more neat. Surgery requires meticulous operation, complete hemostasis, and close observation after operation to prevent internal bleeding.
(C) Partial splenectomy: Applicable to those with one end of the spleen ruptured.
(D) Spleen transplantation: After excision of the smashed splenic rupture, the excised spleen is cut into thin slices and transplanted into the omentum or retroperitoneal muscle. [2]

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