An analysis of adult cases treated with conservative therapy for isolated spleen injury due to blunt abdominal trauma Künt batin travmasina baǧli i̇zole dalak yaralanmalarinin tedavisinde konservatif olarak i̇zlenen erişkin olgularin i̇ncelenmesi


Coşkun H., BOSTANCI Ö., Mihmanli M.

Turkiye Klinikleri Journal of Medical Sciences, cilt.25, sa.5, ss.649-652, 2005 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 5
  • Basım Tarihi: 2005
  • Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.649-652
  • Anahtar Kelimeler: Splenectomy, Therapeutics, Wounds and injuries
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

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. Copyright © 2005 by Türkiye Klinikleri.