术前准备和处置 术中处理 术后处理： Shanmuganathan[1]等人证实如果不标准的CT和血管造影，肾的活动性出血可能漏掉。CT和血管造影发现的暂时性出血停止可以被复苏时增加的血压所破坏而发生再出血。Lin [2]等人认为“控制性低血压”即使血压不超过90mmHg。在理论上，这应该避免再出血，而仍维持末端器官的血流灌注[3]。 1. Shanmuganathan K, Mirvis SE, Boyd-Kranis R, Takada T, Scalea TM. Nonsurgical management of blunt splenic injury: use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology. 2000; 217:75-82. 2. Wei-Ching Lin, MD, Chien-Heng Lin, MD, Jeon-Hor Chen, MD, Yung-Fang Chen, MD, Chao-Hsiang Chang, MD, Shih-Chi Wu, MD, Cheng-Nan Hsu, MD, Chien-Hung Lin, MD, Computed tomographic imaging in determining the need of 3. Duchesne JC, McSwain NE Jr, Cotton BA, Hunt JP, Dellavolpe J, Lafaro K, Marr AB, Gonzalez EA, Phelan HA, Bilski T, et al. Damage control resuscitation: the new face of damage control. J Trauma. 2010;69:976-990.
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