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中文摘要: 摘 要 目的 分析85例脾外伤患者的年龄分布、性别分布、外伤原因及合并损伤情况，并探讨选择治疗方式的影响因素。方法 以2010年01月—2018年12月鄄城县人民医院收治的85例脾外伤患者为研究对象，其中68例（80.00%）采取非手术治疗，17例（20.00%）采取手术治疗，对临床资料进行回顾性研究。采用Logistic回归对治疗方式选择的影响因素进行分析。结果 脾外伤患者中，年龄3个月~14岁，平均5.7岁；外伤及意外摔伤15人(17.65%）、交通事故56人，（65.88%）；单纯性脾挫伤41例（48.24%）、合并其他挫伤44例（51.76%）。非手术治疗组和手术治疗组在年龄、收缩压、入院血色素、输血史以及合并外伤差异具有统计学意义（P＜0.05）。结论 脾外伤以学龄前期和学龄期儿童多见，非手术治疗是儿童脾外伤的主要治疗方式，但是对于血流动力不稳定的病人会采取手术治疗方式。
Abstract:OBJECTIVE The age distribution, sex distribution, trauma cause and combined injury of 85 patients with spleen trauma were analyzed and to explore the factors influencing the choice of treatment. METHODS 85 cases of patients with splenic trauma admitted to Juan Cheng people's hospital from January 2010 to December 2018 were collected as the study objects, 68 cases (80.00%) received non-surgical treatment and 17 cases (20.00%) received surgical treatment. Clinical data were retrospectively studied,Logistic regression was used to analyze the influencing factors of treatment choice. RESULTS The average age of patients with splenic trauma was 5.7 years, ranging from 3 months to 14 years.Injuries and accidental falls (15 people, 17.65%), traffic accidents (56,65.88%);Pure splenic contusion was found in 41 cases (48.24%) and other contusions in 44 cases (51.76%).There were statistically significant differences in age, systolic blood pressure, admission hemoglobin, history of blood transfusion, and combined trauma between the non-surgical group and the surgical group (P<0.05). CONCLUSION Splenic trauma is more common in children of pre-school age and school-age. Non-surgical treatment is the main treatment method for splenic trauma in children, but surgical treatment will be adopted for
patients with unstable hemodynamics.
文章编号：3202003012 中图分类号：R1-9 文献标志码：
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| 作者 | 单位 |
| 常跃春① |
| Author Name | Affiliation |
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