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Assessment of Initial Treatment in Patients with Blunt Splenic Injury
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- Okada Haruhiko
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Sato Koichi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Ino Takeshi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Hashimoto Takashi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Inoue Hirofumi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Kushida Tomoshi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Sakurada Mutsumi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
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- Maekawa Hiroshi
- Department of Surgery, Juntendo University School of Medicine Shizuoka Hospital
Bibliographic Information
- Other Title
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- 外傷性脾損傷の治療法の選択に関する検討
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Description
In the past decade, selective splenic angioembolization (SAE) has improved the nonoperative management (NOM) success rate in patients with blunt splenic injury. In this study we assessed the characteristics of these trauma patients to identify factors that could predict the failure of NOM. We also applied the scale of the Japan Trauma Association (JTA) grading of splenic injury as well as the American Association for the Surgery of Trauma (AAST) grading in the present study. A retrospective chart review of 31 trauma patients with blunt injury to the spleen admitted between September 2000 and July 2006 was performed. In the initial treatment, 8 patients (26%) were treated with a surgical operation, nineteen patients (29%) underwent angiography and 16 patients (52%) were treated with SAE. Nonoperative treatment was successful for 13 patients (42%). AAST gradeIIIand higher, JTA gradeIIIc and higher, PRBCs and proximal embolization all correlated with SAE failure. Left renal injuries correlated with a higher grade of splenic injuries.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 28 (6), 813-818, 2008
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390282679712265216
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- NII Article ID
- 10024430454
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
