What Is Conservative Treatment?

Conservative treatment of traumatic spleen rupture is commonly referred to as non-surgical treatment. Non-surgical treatment of traumatic spleen rupture has a success rate of 30% to 85%, and children have reported success rates of up to 100%. Indications: younger than 50 years old; non-open blunt contusion; only spleen trauma, no other abdominal internal organ contusion; hemodynamic stability, blood transfusion is not more than 2 to 4 units, check indicators are stable, no Coagulation disorders, hematomas no longer enlarged on B-mode observation; clinical symptoms gradually improved. Non-surgical treatment patients: should be placed in the ICU, absolutely bed rest, fasting for at least 24 hours, continuous gastric tube and infusion to maintain water and electrolyte balance, blood transfusion (the amount does not exceed 40ml / kg), and maintain cardiovascular The function is stable, the pulse rate does not exceed 100 times / min, and the systolic blood pressure is maintained at 12kPa. Non-surgical patients are prohibited from strenuous exercise or intense labor for at least 3 months to avoid rebleeding. ^[1]