ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
An Analysis Of Adult Cases Treated With Conservative Therapy For Isolated Spleen Injury Due To Blunt Abdominal Trauma
Dr. Halil COŞKUN,a Dr. Özgür BOSTANCI,a Dr. Mehmet MİHMANLIa
a3. Genel Cerrahi Kliniği, Şişli Etfal Eğitim ve Araştırma Hastanesi, İSTANBUL
Objective: In this study, patients who presented in our emergency room with blunt abdominal injury resulting in isolated splenic trauma and the patterns of treatment used were investigated.
Material and Methods: Between January 2001 and September 2004, 56 patients with blunt abdominal injury, resulting in isolated splenic trauma were seen. Treatment indications in the non-operative group of patients, imaging techniques, hospitalization periods, mortality and morbidity rates were examined.
Results: 41 of 56 patients hospitalized because of blunt abdominal trauma were male and 15 were female. The mean age of patients was 42.3 (13-95) years. The number of patients with isolated splenic trauma was 12 (21.4%) and 10 of these (83.3%) were treated conservatively. It was observed that 4 of the patients had grade 3 (40%), 4 grade 2 (40%) and 2 of them had grade 1 (20%) injury. Patients conservatively treated fully recovered. The mean period of hospitalization was 8.7 days (7-10). The period of hospitalization for 2 of the operatively managed patients was 9.5 days (9-10).
Conclusion: Conservative treatment for haemodynamically stable patients with isolated splenic rupture as a consequence of blunt abdominal trauma is a safe and reasonable method of treatment.Keywords: Wounds and injuries, therapeutics, splenectomyTurkiye Klinikleri J Med Sci 2005, 25:649-652
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