摘 要 脾脏质地脆弱、储血丰富，在外伤情况下容易破裂出血。在过去的很长一段时间里，处理脾破裂的方式基本都是脾切除术，然而随着对脾脏的认知不断加深，在挽救生命的前提下，尽可能的保留脾脏及其功能得到了人们的认可，临床医师不再一味追求保脾或者切脾。随着医疗技术的进步、脾破裂的损伤分级愈加完善，脾破裂的处理方式也层出不穷、多种多样。但是如何诊断及治疗脾破裂，仍需要临床医师根据患者的病情，实施个体化方案，过分依赖任何量化指标都并非明智之举。

    关键词 创伤性脾破裂；诊断；治疗

    中图分类号：R657.6 文献标志码：A 文章编号：1006-1533(2024)20-0001-05

    引用本文 陈东， 高洪强， 张俊杰. 创伤性脾破裂的诊治进展[J]. 上海医药， 2024， 45(20)： 1-5.

    Progress in the diagnosis and treatment of traumatic splenic rupture

    CHEN Dong， GAO Hongqiang， ZHANG Junjie

    (Department of General Surgery， Fengcheng Hospital， Fengxian District， Shanghai， 201411， China)

    ABSTRACT The spleen is the most common substantial organ involved in abdominal trauma because of its fragile texture and rich blood storage， which makes it prone to rupture and bleeding in traumatic situations. For a long time in the past， splenectomy was the basic treatment for splenic rupture. However， as the knowledge of the spleen deepens， preserving the spleen and its function as much as possible in order to save lives has been recognized， and clinicians no longer pursue splenectomy or splenic preservation. With the advancement of medical technology and the improvement of injury grading of splenic rupture ......