The author reviewed 31 cases of splenectomy between January 1975 and June 1984, at the department of surgery, college of medicine, Ewha womans¢¥ university,
r The results of ¢¥ analysis .are summerized as " follow ;
1) The highest incidences of, age range were 3rd and 4th decades, and male to female ratio was 1.6: 1.
2) The causes of traumatic splenic injury were traffic accident (5& 33%), violence (25ojoj and falling down (16.67%) . in order of frequency.
3) The traumatic injury was composed of mutiple injury (58.33%) and single sp-. lenic injury (41.67%). The most common associated injury was intraabdominal bleeding (58.33%) and rib fracture was 16.67% as extraabdominal injury.
4) The hematologic findings on - admission were as follow ;
a 1. The value of hemoglobin was below 10mg/dl in 66.67%.
2. The hematocrit level was below 35% in 33.33%.
3. The leukocyte count was above 15000/mm3 in 50%.
5) The abdominal paracentesis were performed in 10 cases and 7 cases (70%) showed the positive findings.
6) The time interval between injury and operation was within 8 hours in 8 cases (66.67%).
7) The incidence of postoperative complication was 16.13 %, and the rate of wound infection, atelectasis : and ¢¥intestinal obstruction was 0.65% in each.
8) The seasonal distribution suggested that splenic injury was more prevalent in summer (58.33%).
9) The motality was 1 case (3.23%) but this was not associated with traumatic injury.
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