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KMID : 0356019900050010059
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Koean Jounral of Critical Care Medicine
1990 Volume.5 No. 1 p.59 ~ p.65
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A Clinical Review of Splenic Surgery
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Abstract
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Splenectomy has been the traditional method of treatment of both traumatic and iatrogenic injuries to spleen. As the incidence of high-speed automobile accidents incerased, the frequency of traumatic rupture of the spleen became the highest than ever. And the iatrogenic injury to the spleen might be a relatively common complication of intraabdominal surgery. But the necessity of performing a splenectomy in hematologic disorders has been decreased, We experienced 116 cases of splenic surgery at Hang Gang Sacred Heart hopital over 8 years from Dec. 1981 to Aug, 1988, and compared the result of analysis with foregoing report which was made by Lee et al(1981).
The results are presented as follows;
1) The most common cause of splenic surgery was traumatic splenic injury in 61 cases (52.5%) and the traffic accident was the most common cause of splenic trauma(60%), which was the leading cause of splenic surgery in the preceding report.
2) The proportion of splenorrhaphy in splenic surgery(26.1%) became higher than the previous report(5.5%) significantly(p$lt;0. 01).
3) The rate of postoperative complications was 47.4%. and the most common type of those was respiratory complication. especially lower lobe atelectasis.
4) The rate of postoperative complications was well correlated with the existence of associated injury(p$lt;0.01), the duration of operation more than 2 hours (p$lt;0.01), and the amount of transfusion more than 6 pints of blood(p$lt;0.05), but was not correlated with the existence of shock(p$lt;0.05), or the interval after receving injury(p$lt;0.05).
5) the mortality rate was 10.3%.
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KEYWORD
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