Evaluation of need for operative intervention in blunt splenic injury: Intraperitoneal contrast extravasation has an increased probability of requiring operative intervention

Chih Yuan Fu, Shih Chi Wu, Ray Jade Chen, Yung Fang Chen, Yu Chun Wang, Hung Chang Huang, Jui Chien Huang, Chih Wei Lu, Wei Ching Lin

研究成果: 雜誌貢獻文章同行評審

23 引文 斯高帕斯(Scopus)

摘要

Background Angioembolization is an effective adjunct to the management of blunt splenic injuries (BSI) that are not surgically treated. However, in some cases patients are unable to undergo angioembolization due to changes in their hemodynamic condition. In this study we attempt to define the characteristics of patients who need angioembolization in high-grade BSI. Methods We retrospectively reviewed the charts of patients with BSI between January 2004 and June 2008. Patients with contrast extravasation (CE) on computed tomography (CT) scan were enrolled. The demographics, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), the amount of blood transfused, and the type of CE were analyzed. Results A total of 69 patients were enrolled. Patients with intraperitoneal CE in BSI required a higher rate of immediate operation due to changed hemodynamics. Furthermore, these patients displayed higher ISS and higher blood transfusion amounts. Conclusions In BSI patients, intraperitoneal CE is associated with a higher possibility of requiring surgical intervention. Early surgical intervention should be considered in BSI patients with intraperitoneal CE or with ISS ≤ 25.

原文英語
頁(從 - 到)2745-2751
頁數7
期刊World Journal of Surgery
34
發行號11
DOIs
出版狀態已發佈 - 2010
對外發佈Yes

ASJC Scopus subject areas

  • Surgery

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