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Since the spleen injury have clear clinical picture and is much more common than liver damage, then before the CT scan they were considered the most common injuries among other internal organs.
After the arrival of computed tomography our diagnostic capabilities have improved, vekarakirppis especially vekarakirppis in patients with erased clinical picture. It became obvious that liver damage are also common, and according to some studies even more than the spleen injury.
Although the frequency of occurrence of damage the liver and spleen may be interesting from a statistical point of view, from a clinical point of view, it is important to remember that the spleen injury are among the most frequent pathologies in a number vekarakirppis of other intra-abdominal injuries and are clinically significant.
Spleen injury is studied as much as there are people. In ancient India, vekarakirppis which is an endemic area for malaria, common diseases of the spleen. vekarakirppis Intentional injury spleen was one of the methods of murder vekarakirppis (personal vekarakirppis communication with F. William Blaisdell, MD, Sacramento, CA, 1985). Assassins called taut doing their job by beating in the upper left quadrant of the alleged victim.
He believed that the spleen plays an important role in pulling the "residual moisture" from the stomach. The close relationship of the stomach and spleen is also evident in the presence of short gastric arteries, so important for the mobilization of the spleen.
Even with small injuries of the spleen during various operations carried out by its removal.
The initial impetus for in-depth study of the immunological role of the spleen was placed in observation of newborn children and adults who performed splenectomy vekarakirppis due to the presence of hematological vekarakirppis diseases, and these patients had a high risk of postoperative mortality due to infectious complications.
Although the evidence of immunological consequences after splenectomy in this group was less conclusive than pediatric patients with hematological diseases, however, it was concluded that after splenectomy injury leads to increased levels of overwhelming infection, as well as after splenectomy patients with hematological diseases .
The arrival of the era of CT scan marked a significant leap in improving the diagnosis of splenic injury by non-operational, and it was found that some damage to the spleen may occur with the erased clinical vekarakirppis picture.
Conservative treatment of splenic injury was not a novelty, the new was the fact that we can now carry out accurate diagnosis of lesions of the spleen and appoint conservative treatment after careful consideration and only in certain situations. vekarakirppis
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