车祸后腹腔积液在增加，决定手术，脾破了，还能保住吗？这个手术危险吗？ 手术后可以吃点什么吗？比如保健品。 车祸非常非常非常可怕，请大家一定对自己对家人负责，慢慢的开车，在疲劳的时候不要开车。 helenscream1988 发表于 12/16/2017 7:49:09 AM
Splenorrhaphy
Definition: “Suturing a ruptured spleen.”
The surgical repair of a traumatized spleen rather than removing the entire organ by splenectomy. There is usually more blood lost trying to repair it.
If a blood transfusion becomes a necessary adjunct for successful splenorrhaphy, then splenectomy without transfusion is the safer treatment. ---发自Huaren 官方 iOS APP
You can live without a spleen. But because the spleen plays a crucial role in the body's ability to fight off bacteria, living without the organ makes you more likely to develop infections, especially dangerous ones such as Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. These bacteria cause severe pneumonia, meningitis, and other serious infections. Vaccinations to cover these bacteria should ideally be given to patients about two weeks before planned surgery or roughly two weeks after emergency surgery. Your doctor may recommend other immunizations as well.
Infections after spleen removal usually develop quickly and make the person severely ill. They are referred to as overwhelming post-splenectomy infections, or OPSI. Such infections cause death in almost 50% of cases.
Other complications related to splenectomy include:
Blood clot in the vein that carries blood to the liver Hernia at the incision site Infection at the incision site Inflammation of the pancreas (pancreatitis) Lung collapse Injury to the pancreas, stomach, and colon
Call the doctor right away if you have any of the following after a splenectomy:
Bleeding Chills Cough or shortness of breath Difficulty eating or drinking Increased swelling of the abdomen Pain that doesn't go away with prescribed medications Increasing redness, pain, or discharge (pus) at the incision site Nausea or vomiting that persists Fever over 101 degrees
Preventing Infections After spleen removal: Adults usually do not need daily antibiotics, unless they become sick or there is a chance they could become sick. People who do not have a spleen who plan on traveling out of the country or to a place where medical help is not available should carry antibiotics to take as soon as they become sick. Also, if you have your spleen removed, ask your doctor about getting a flu shot each year.
After a splenectomy, you are likely to have pain for several days. You may also feel like you have the flu. You may have a low fever and feel tired and nauseated. This is common. You should feel better after a few days and will probably feel much better in about a week.
The spleen helps protect against infections. Now that your spleen has been removed, you will need to be careful to prevent certain infections.
This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.
How can you care for yourself at home? Activity
Rest when you feel tired. Getting enough sleep will help you recover. Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation. Avoid strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay. Avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a vacuum cleaner, or a child. Ask your doctor when you can drive again. You will probably need to take 4 to 6 weeks off from work. It depends on the type of work you do and how you feel. You may shower 24 to 48 hours after surgery, if your doctor says it is okay. Pat the cut (incision) dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.
Eat several small meals each day. Slowly increase the amount you eat. It's common to feel full quickly after having this surgery. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. Your doctor may tell you to take iron supplements. Drink plenty of fluids to avoid becoming dehydrated. You may notice that your bowel movements are not regular right after your surgery. This is common. Avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.
If you have strips of tape on the incision, leave the tape on for a week or until it falls off. Or follow your doctor's instructions for removing the tape. Wash the area daily with warm, soapy water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. Take showers instead of baths for the next 2 weeks.
Other instructions
You need to take steps to avoid infections. Without a spleen, you have a higher chance of getting very sick with some infections. Get all the vaccinations your doctor recommends. Do not travel to areas where you could get serious infections such as malaria. Avoid contact with people who are sick. Wash your hands often. You will get a medical alert card letting health professionals know about your splenectomy. Carry this with you. It will tell health care workers that you do not have a spleen, in case you need emergency care.
手术后可以吃点什么吗？比如保健品。
车祸非常非常非常可怕，请大家一定对自己对家人负责，慢慢的开车，在疲劳的时候不要开车。
目前只是看片子
会不会手术中大出血？
信就上当啦
问网友没有意义，多找两个医生问一下second opinion
又不是在让网友看病，问问别人的经历也不可以？？
问问有什么不可以，别人的经历也是别人的医生的观点，听听又没坏处。
如果网友说他的脾保住了，lz跟医生说，医生会改变治疗方案吗？如果有其他医生跟lz说，有方案可以保住脾。这两件事情哪一个更靠谱？
lz，对手术医生来说，有些问题，只能在手术中随机应变
急性外伤脾破裂，都是会摘除脾。因为脾是脆的，不像肝一样可以切一点。所以如果破了，就整个摘除。我以前是不知道什么原因，脾有破，但是不是外伤，可能是囊肿破了。没有大出血，就是慢慢吸收了，没有手术，注意不要压到脾就好。我还吃了点云南白药
☆ 发自 iPhone 华人一网 1.12.04
没有修补或者自愈或者留一半的可能呢
要全部切除。最先进的医院也是这么说。不可能修复或者留一半。就是这样。想开就好了。不要纠结没脾了，就想人生命安全了
☆ 发自 iPhone 华人一网 1.12.04
Definition: “Suturing a ruptured spleen.”
The surgical repair of a traumatized spleen rather than removing the entire organ by splenectomy. There is usually more blood lost trying to repair it.
If a blood transfusion becomes a necessary adjunct for successful splenorrhaphy, then splenectomy without transfusion is the safer treatment. ---发自Huaren 官方 iOS APP
Re
影响一般都几岁开始有？
脾跟脾气没关系吧！
脾气不好可能是因为老了身体不好，而且老人容易固执。
http://journal.9med.net/qikan/article.php?id=289458
http://www.cnki.com.cn/Article/CJFDTotal-GMZY201715047.htm
非手术治疗的成功病例很多，但也要参考个人的情况
祝MM早日康复
实习的时候见过车祸脾切除的，没事儿。
Infections after spleen removal usually develop quickly and make the person severely ill. They are referred to as overwhelming post-splenectomy infections, or OPSI. Such infections cause death in almost 50% of cases.
Other complications related to splenectomy include:
Blood clot in the vein that carries blood to the liver
Hernia at the incision site
Infection at the incision site
Inflammation of the pancreas (pancreatitis)
Lung collapse
Injury to the pancreas, stomach, and colon
Call the doctor right away if you have any of the following after a splenectomy:
Bleeding
Chills
Cough or shortness of breath
Difficulty eating or drinking
Increased swelling of the abdomen
Pain that doesn't go away with prescribed medications
Increasing redness, pain, or discharge (pus) at the incision site
Nausea or vomiting that persists
Fever over 101 degrees
Preventing Infections After spleen removal:
Adults usually do not need daily antibiotics, unless they become sick or there is a chance they could become sick. People who do not have a spleen who plan on traveling out of the country or to a place where medical help is not available should carry antibiotics to take as soon as they become sick. Also, if you have your spleen removed, ask your doctor about getting a flu shot each year.
After a splenectomy, you are likely to have pain for several days. You may also feel like you have the flu. You may have a low fever and feel tired and nauseated. This is common. You should feel better after a few days and will probably feel much better in about a week.
The spleen helps protect against infections. Now that your spleen has been removed, you will need to be careful to prevent certain infections.
This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.
How can you care for yourself at home?
Activity
Rest when you feel tired. Getting enough sleep will help you recover.
Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
Avoid strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay.
Avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a vacuum cleaner, or a child.
Ask your doctor when you can drive again.
You will probably need to take 4 to 6 weeks off from work. It depends on the type of work you do and how you feel.
You may shower 24 to 48 hours after surgery, if your doctor says it is okay. Pat the cut (incision) dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.
Eat several small meals each day. Slowly increase the amount you eat. It's common to feel full quickly after having this surgery.
If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
Your doctor may tell you to take iron supplements.
Drink plenty of fluids to avoid becoming dehydrated.
You may notice that your bowel movements are not regular right after your surgery. This is common. Avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.
If you have strips of tape on the incision, leave the tape on for a week or until it falls off. Or follow your doctor's instructions for removing the tape.
Wash the area daily with warm, soapy water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing.
Take showers instead of baths for the next 2 weeks.
Other instructions
You need to take steps to avoid infections. Without a spleen, you have a higher chance of getting very sick with some infections.
Get all the vaccinations your doctor recommends.
Do not travel to areas where you could get serious infections such as malaria.
Avoid contact with people who are sick.
Wash your hands often.
You will get a medical alert card letting health professionals know about your splenectomy. Carry this with you. It will tell health care workers that you do not have a spleen, in case you need emergency care.
怕lz English 不行想给你画画重点啊
咋弄的？
Re, 太有同感了，在家小都遇到好几回了。很多东西本来就是经历过的病人和家属可能更懂的，尤其是做完手术后医生哪还知道自己病人怎么样了，还不是患者知道后续最多。有人总把别人当傻子，啥都不能问了还，这种人自己不爱研究不爱帮助人还拦着别人，太可气了。必须见一次说一次
虽然你不能代表医生做决定，但是表达一下自己的意愿总是可以的。祝一切顺利安好！
等你有类似情形发生，再来说这话看看。咋不能有点同情心呢。多了解一些有什么不好，哪怕不能回答问题给人家一点宽慰不行啊！人家说了是让网友治病的？
多了解一些情况和医生讨论的时候也多能多问一些相关的问题，心里不也能踏实些。谁也不愿意两眼一抹黑任人摆布。如果医生判断都是准确的话，也没有专家会诊这一说了。
如果ruptured
切除更好些
因为缝合或切除一半会大量流血不止需要输血而且会有后遗症
就不如都切了
有30%的人会多一个小的畸形脾
如果幸运长了还可以用一用
哎
能少切就少切
不得已才全切
每次有人问病情
永远都有个人说 你信医生信网友的讥讽一番
来问问就是让网友诊断吗
虽然网友不是医生 但是周围人的经历 不也是可以做参考吗
别人的经历不就是医生的治疗过程吗
对 楼上说的好
医生的建议 可以听 但必须带有自己的判断
我的爷爷 70岁被诊断为癌症 医生说完了
我爷爷自己不信 说自己身体自己了解 也没有手术 也没有吃药
结果87了 还健在
可见医生的判断有时候确实有失误
作为病人 应该有些知识储备
跟医生谈的时候 也有些判断
每次都有人出来讽刺一句 几乎没有例外
Spleen 是个很容易大量流血的器官
会有并发症
很多时候切一半不如全切了安全
大家的经验起到非常非常多的的作用
那些人就是不会为他人着想
就知道BB
看着确实很烦很烦
就想让她闭嘴
脾太脆弱了
我记得以前老师举例子说比如跑步 跑了很久 体力不好了 不够了 这时候脾里面储存的血会供放出来 所以跑到极限后反而会突然又有些体力了的感觉