ABSTRACT
From January 1984 to June 1992; a period of 8.5 years; 60 patients with splenic trauma were treated in Lacor Hospital. The spleen trauma was managed conseratively in 47(78) of the patients. OF these; 36 patients(60) were not operated upon. Eleven (18) were operated upon but nine (15) patients had exploratory laporatomy only without sleen manipulation and in two splenic repair was performed. Thirteen (22) patients had splenectomy. In the non-operative group; reccurrent or rebleeding was detected in one patient and delayed bleeding occurred in five patients (8). Overall mortality rate was five (8); two (3) occurring in splenic salvage and three (5) in splenoctomized patients. It is concluded that with availability of facilities and personnel; in selected cases of blunt splenic trauma; splenic conservation is safe but requires close monitoring
Subject(s)
Lymphoid Tissue , Spleen/adverse effectsABSTRACT
Le travail experimental decrit; a ete realise chez le lapin. Ce travail concerne; apres immunisation intra tracheale primaire et secondaire par les globules rouges heterologues; l'etude comparee des reponses bronchiques; ganglionnaires et mesenteriques. Enfin; une etude des modifications morphologiques du tissu lymphoide bronchique a ete simultanement menee; et a permis de noter l'hyperplasie des cellules calciformes (cellules a mucus); l'hypertrophie des nodules lympho-epitheliaux (NLE); du lympho-epithelium; la dimunition des cellules ciliees; l'augmentation des NLE; des amas lymphoides et enfin une infiltration massive des cellules dans le lympho-epithelium. Cette infiltration pourrait plaider en faveur d'un transfert preferentiel et d'une reconnaissance antigenique au niveau des nodules lympho-epitheliaux bronchiques