Diagnosis of spleen rupture

There are several important parts in the human body, and the internal organs are the most important. The spleen is an important organ in the human body. If there is a disease in the spleen, it will affect the body's digestion and absorption function. Therefore, people should pay attention to protecting their spleen, because diseases of the spleen can also affect the occurrence of diseases in other organs. Splenic rupture should be relatively rare, but how is spleen rupture diagnosed?

The diagnosis of traumatic splenic rupture mainly depends on ① the history of injury; ② the clinical manifestations of internal bleeding; ③ the absence of coagulated blood during diagnostic abdominal puncture, etc. In cases of splenic subcapsular laceration with subcapsular hematoma, the clinical manifestations are atypical, abdominal puncture is negative, and the diagnosis is difficult to determine at the moment. In recent years, for cases where diagnosis is indeed difficult but the injury condition permits, peritoneal lavage, B-ultrasound, radionuclide scanning, CT or selective abdominal angiography are used to help clarify the diagnosis.

(1) Peritoneal lavage is an invasive examination that cannot specifically locate the damaged organ or explain the extent of the damage. There are also a few false positive or false negative results. The analysis must be combined with clinical and other examination results.

(ii) B-mode ultrasound is a non-invasive examination that is more commonly used and can show a shattered spleen, a large subcapsular hematoma of the spleen, and blood accumulation in the peritoneal cavity.

(III) CT examination can clearly show the morphology of the spleen and has a high accuracy in diagnosing splenic parenchymal laceration or subcapsular hematoma.

(iv) Radionuclide scanning can be used to diagnose spleen injury using techniques such as 99m technetium colloidal sulfur scanning or gamma photography, and the method is safe.

(V) Selective abdominal artery angiography: This is an invasive examination that is complicated to operate and has certain risks. However, the accuracy of diagnosing splenic rupture is quite high and can show the location of damaged arteries and parenchyma in the spleen. It is only used for closed injuries that are stable and cannot be clearly diagnosed by other methods.

It should be emphasized that spleen rupture is often accompanied by damage to other organs, such as liver, kidney, pancreas, stomach, intestine, etc., which should not be missed during diagnosis and treatment.

This is an introduction to the question of how to diagnose spleen rupture. Any disease requires a good diagnosis, and we cannot simply conclude that we have a certain disease based on our own judgment. So the diagnosis of disease is very important in our lives. Only if we all believe in our own abilities can we live a better and healthier life. Any article will be helpful to us.