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정상비장의 외상성 파열에 관한 임상적 고찰

A Clinical Review of Traumatic Rupture of the Normal Spleen

대한외과학회지 1970년 12권 4호 p.52 ~ 56
권용근,
소속 상세정보
권용근 (  ) - 제일육군병원 일반외과

Abstract


Author studied a clinical review on 23 cases of traumatic rupture of the normal spleen. The splenic ruptured patient was most commonly occurred in a man between the ages of 11 and 20 years(34.8%). He had either been involved in automobile accidentsor fall. He complained of severe abdominal pain (86.9%) and abdominal distention (47.8%), perhaps more severe in the left upper quadrant. On physical examination, he was found to have generalized abdominal tenderness (86.9%) and generalized abdominal rigidity (65.2%) and also visible evidence of trauma were presented (65.2%). Blood counts revealed anemia (78.2%) and leucocytosis (73.9%). Among the 9 abdominal paracentesis revealed 5 positive intraperitoneal blood. The mortality rate was 13.0% after splenectomy. The period from hospitalization to discharge was 3 weeks.

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