Nonoperative management of blunt splenic injury: what is new?

被引：0
作者：
G. A. Watson
M. K. Hoffman
A. B. Peitzman
机构：
[1] UPMC-Presbyterian,Department of Surgery, F
[2] University of Pittsburgh,1281
来源：
European Journal of Trauma and Emergency Surgery | 2015年 / 41卷
关键词：
Spleen; Splenic injury; Nonoperative management; Angiography and embolization;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The majority of splenic injuries are currently managed nonoperatively. The primary indication for operative management of blunt splenic injury is hemodynamic instability. Findings which correlate with failure of nonoperative management include grade IV or V splenic injury, high Injury Severity Scores, or active extravasation. The role of angiograph/embolization is becoming better defined, appropriate in the patient with pseudoaneurysm or active extravasation or the stable patient with grade IV or V splenic injury.
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页码：219 / 228
页数：9
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[1]  
Boscak AR(2013)Optimizing trauma multidetector CT protocol for blunt splenic injury: need for arterial and portal venous phase scans Radiology 268 79-88
[2]  
Shanmuganathan K(2014)Active hemorrhage and vascular injuries in splenic trauma: utility of the arterial phase in multidetector CT Radiology 270 99-106
[3]  
Mirvis SE(1989)Organ injury scaling: spleen, liver, and kidney J Trauma-Inj Infect Crit Care 29 1664-1666
[4]  
Fleiter TR(2000)Blunt splenic injury in adults: multi-institutional study of the Eastern Association for the Surgery of Trauma J Trauma-Inj Infect Crit Care 49 177-189
[5]  
Miller LA(2012)Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline J Trauma Acute Care Surg 73 S294-S300
[6]  
Sliker CW(2005)Failure of observation of blunt splenic injury in adults: variability in practice and adverse consequences J Am Coll Surg 201 179-187
[7]  
Steenburg SD(2006)Nonoperative management of severe blunt splenic injury: are we getting better? J Trauma Acute Care Surg 61 1113-1119
[8]  
Alexander M(2010)Management of the most severely injured spleen: a multicenter study of the Research Consortium of New England Centers for Trauma (ReCONECT) Arch Surg 145 456-460
[9]  
Uyeda JW(2001)Failures of splenic nonoperative management: is the glass half empty or half full? J Trauma Acute Care Surg 50 230-236
[10]  
LeBedis CA(2005)Nonoperative management of blunt splenic injury: a 5-year experience J Trauma-Inj Infect Crit Care 58 492-498
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