CONSERVATIVE MANAGEMENT OF CLOSED SPLEEN INJURY IN CHILDREN

Objective To elevate the level of diagnosis and conservative management for closed splenic injuries in children.MethodsThe clinical data of 25 cases that had closed spleen injuries were analyzed,summarized and assessed retrospectively.Results22 patients of them underwent conservative management,3 of them could not be maintained stably and were finally carried out splenectomy.All children with splenic injuries were discharged from hospital after recovery,had no complication and death.ConclusionClosed splenic injuries in children are suggested to take mainly conservative measures if there is satisfactory hemodynamic stability.Operative treatment ought to be timely given when general conditions take obviously a turn for the worsen.