PDF(Pubmed)
Abstract：
BACKGROUND: Road traffic accidents are the greatest cause of death worldwide. Most intra-abdominal injuries caused by blunt abdominal trauma have been treated surgically for a very long period. Over the past few decades, conservative care has gained in popularity and effectiveness as a treatment choice for blunt abdominal trauma.
OBJECTIVE: To determine the efficacy of conservative management in patients suffering from splenic injury in blunt abdominal trauma.
METHODS: The study included 62 cases of blunt abdominal trauma treated non-operatively in the general surgery department of the Hayatabad Medical Complex Peshawar between June 2021 and December 2022.
RESULTS: Minimal hemoperitoneum was observed in 47 (75.8%) cases, moderate hemoperitoneum was noted in 11 (17.7%) cases, and 4 (6.4%) patients didn\'t have free fluid in the abdomen. There was no massive hemoperitoneum among the study patients. No major complications were observed during the study period. Only 7 (11.3%) cases develop minimal pleural effusion while 2 (3.2%) patients developed splenic abscess. Mortality was observed in only 1 (1.6%) case.
CONCLUSIONS: Conservative management is a safe and efficient strategy and should be considered as a first line of treatment for all hemodynamically stable patients who suffered blunt splenic injury.
OBJECTIVE: To determine the efficacy of conservative management in patients suffering from splenic injury in blunt abdominal trauma.
METHODS: The study included 62 cases of blunt abdominal trauma treated non-operatively in the general surgery department of the Hayatabad Medical Complex Peshawar between June 2021 and December 2022.
RESULTS: Minimal hemoperitoneum was observed in 47 (75.8%) cases, moderate hemoperitoneum was noted in 11 (17.7%) cases, and 4 (6.4%) patients didn\'t have free fluid in the abdomen. There was no massive hemoperitoneum among the study patients. No major complications were observed during the study period. Only 7 (11.3%) cases develop minimal pleural effusion while 2 (3.2%) patients developed splenic abscess. Mortality was observed in only 1 (1.6%) case.
CONCLUSIONS: Conservative management is a safe and efficient strategy and should be considered as a first line of treatment for all hemodynamically stable patients who suffered blunt splenic injury.
摘要：
背景：道路交通事故是全球最大的死亡原因。由腹部钝性外伤引起的大多数腹内损伤已经通过手术治疗了很长时间。在过去的几十年里，保守治疗作为腹部闭合性创伤的治疗选择，已经越来越受欢迎和有效。
目的：确定闭合性腹部创伤脾损伤患者保守治疗的疗效。
方法：本研究包括2021年6月至2022年12月在Hayatabad医疗综合体白沙瓦普外科非手术治疗的62例腹部闭合性创伤患者。
结果：47例（75.8%）患者腹腔积血最少，11例(17.7%)出现中度腹膜积血,4例（6.4%）患者腹部无游离液。研究患者中没有大量的腹膜积血。在研究期间未观察到重大并发症。只有7例（11.3％）患者出现少量胸腔积液，而2例（3.2％）患者出现脾脓肿。仅在1例（1.6％）病例中观察到死亡率。
结论：保守治疗是一种安全有效的策略，应被视为所有钝性脾损伤血流动力学稳定患者的一线治疗方法。
目的：确定闭合性腹部创伤脾损伤患者保守治疗的疗效。
方法：本研究包括2021年6月至2022年12月在Hayatabad医疗综合体白沙瓦普外科非手术治疗的62例腹部闭合性创伤患者。
结果：47例（75.8%）患者腹腔积血最少，11例(17.7%)出现中度腹膜积血,4例（6.4%）患者腹部无游离液。研究患者中没有大量的腹膜积血。在研究期间未观察到重大并发症。只有7例（11.3％）患者出现少量胸腔积液，而2例（3.2％）患者出现脾脓肿。仅在1例（1.6％）病例中观察到死亡率。
结论：保守治疗是一种安全有效的策略，应被视为所有钝性脾损伤血流动力学稳定患者的一线治疗方法。
