[Non-operative treatment of splenic rupture: clinical analysis of 76 cases]

Among 79 cases of splenic rupture, 76 were treated with non-operative treatment since 1980, with interval splenectomy in 1 case. All the patients were cured. The diagnosis was based on history, hemoperitoneum, diagnostic abdominocentsis, ultrasonic scanning, endoscopy, and X-ray with examination contrast media. The medical measures included bed rest, gastric decompression, blood volume replenishment, autotransfusion and Chinese medicine. Both children and adults suffering from splenic rupture can be treated with nonoperative treatment in selected cases.