【摘要】目的：探究急诊外科胸腹部外伤导致延迟性脾破裂临床急救的方法。方法：选取2014年7月至2017年8月在我院急诊外科诊治的54例因胸腹部外伤导致的延迟性脾破裂患者作为分析对象，根据选择治疗方式的不同分为观察组和对照组。对照组选择手术治疗，观察组患者选择非手術治疗，在治疗后对比两组患者的治疗效果，ISS指标结果、输血量、住院时间及并发症的发生情况。结果：观察组与对照组患者的创伤严重度分值及疗效相当(P>0.05)；观察组患者的住院时长、输血量均长于或多于对照组患者，但并发症的发生率均小于对照组患者，两组之间的差异比较均有统计学意义(P<0.05)。结论：对于因胸腹外伤导致的延迟性脾破裂采取非手术方法治疗的疗效与手术方法治疗相当，但是对患者的损伤小，术后并发症少，值得临床应用与推广。

    【关键词】急诊外科；胸腹部外伤；延迟性脾破裂；临床急救；探究分析

    Abstract Objective： To explore the thoracic and abdominal trauma emergency surgery of delayed splenic rupture of clinical emergency. Methods ： from July 2014 to August 2017 in our hospital 54 cases of emergency surgery diagnosis and treatment due to thoracic and abdominal traumatic delayed rupture of spleen as the analysis objects were selected according to the different forms of treatment are divided into observation group and control group control. The choice of surgical treatment group ......