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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
2
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pubmed:dateCreated |
1984-8-16
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pubmed:abstractText |
This report is a retrospective study over a 13 year period of 267 patients who underwent splenectomy. The incidence of associated major abdominal injuries following blunt trauma in these patients was 8%. Over half of these associated injuries were diagnosed pre-operatively. Sixty-nine per cent of the patients were haemodynamically stable before operation. Patients who suffered splenic injuries whilst playing sport or who were conscious and did not have major extra-abdominal injuries or clear evidence of other intra-abdominal injury could possibly have been managed expectantly. Such a policy might have avoided splenectomy in a substantial number of cases and thus have eliminated the risk of Overwhelming Post-Splenectomy Infection (OPSI) in these patients.
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0004-8682
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
54
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
129-35
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:6588951-Accidents, Traffic,
pubmed-meshheading:6588951-Adolescent,
pubmed-meshheading:6588951-Adult,
pubmed-meshheading:6588951-Aged,
pubmed-meshheading:6588951-Athletic Injuries,
pubmed-meshheading:6588951-Child,
pubmed-meshheading:6588951-Hemodynamics,
pubmed-meshheading:6588951-Humans,
pubmed-meshheading:6588951-Length of Stay,
pubmed-meshheading:6588951-Male,
pubmed-meshheading:6588951-Methods,
pubmed-meshheading:6588951-Middle Aged,
pubmed-meshheading:6588951-Retrospective Studies,
pubmed-meshheading:6588951-Risk,
pubmed-meshheading:6588951-Rupture, Spontaneous,
pubmed-meshheading:6588951-Spleen,
pubmed-meshheading:6588951-Splenectomy,
pubmed-meshheading:6588951-Splenic Diseases,
pubmed-meshheading:6588951-Time Factors,
pubmed-meshheading:6588951-Unconsciousness,
pubmed-meshheading:6588951-Wounds, Nonpenetrating,
pubmed-meshheading:6588951-Wounds, Penetrating
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pubmed:year |
1984
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pubmed:articleTitle |
The injured spleen: should consideration be given to conservative management?
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pubmed:publicationType |
Journal Article,
Comparative Study
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