Indications for non-surgical management of traumatic splenic rupture: report of 36 cases / 南方医科大学学报

<p><b>OBJECTIVE</b>To investigate the indications for non-surgical management of traumatic splenic rupture.</p><p><b>METHODS</b>From Jan. 2002 to Jan. 2008, 36 patients with traumatic splenic rupture underwent non-surgical management in the First Affiliated Hospital of Jinan University.</p><p><b>RESULTS</b>Of the 36 cases, 32 were successfully managed without surgical interventions, and 4 converted to open surgery. No death occurred in these patients, nor was delayed splenic rupture identified 1 to 5 years after the treatment.</p><p><b>CONCLUSION</b>Hemodynamically index is an important reference to select the patients, and the degree of splenic rupture, the patient's age and conditions of the hospital should be considered.</p>