Hu Jinqiu suffered a ruptured spleen caused by an opponent hitting his left rib during a CBA semifinal against Shanghai team on April 15, and then underwent emergency surgery.
Let's first look at the process of Hu Jinqiu's injury, The Shanghai team's Franklin fell after scrambling for rebounds, just the head and shoulder back like dominoes fell, hitting Hu Jinqiu's left ribs, from the video, Franklin fell down for a moment, the weight of the force, the explosive force is like the boxer's heavy punch on Hu Jinqiu's body, the injury looks like no small. However, Hu Jinqiu did not show severe pain at that time, but there was swelling and vomiting in his left rib after the game. It shows that there was no major injury at the time of injury, but the gradual increase in bleeding after the spleen laceration led to symptoms of peritoneal irritation, resulting in some manifestations of abdominal pain and vomiting.
Image from the web
Judging from the way of surgery, the spleen is sutured, which also shows that the mouth of the spleen laceration is not large, and the surgical treatment of preserving the spleen can be carried out.
Let's first look at where the spleen grows and what functions it does.
The spleen grows on the left upper abdomen of the human body, which is just blocked by our ribs, so the spleen that is often said to be "untouched" during physical examination is because the normal spleen is protected by the ribs. The normal spleen is generally the size of a fist, and it is very brittle, and the left upper abdomen is hit, and it is easy to be broken like a watermelon.
Image from the web
Doesn't that say the ribs shield the spleen? Why is the spleen so easily injured?
In fact, this is related to the strength of the injured part. Injuries that can cause a ruptured spleen are usually an impact on the left upper quadrant, often with fractures of 9-11 ribs. If you think about it, this impact broke the ribs, and the spleen under the ribs must have been injured. Under the heavy blow, the spleen is concussed, or directly oppressed and lacerations occur in various situations.
There are many types of splenic rupture, and the American Association of Trauma Surgery divides splenomegaly into 5 grades.
Grade I: subcapsular hematoma < 10% of surface area, parenchymal laceration depth < 1 cm, envelope tear; Grade II. Subcapsular hematoma 10 to 50% of the surface area, intrafinchymal hematoma diameter < 5 cm, parenchymal laceration depth 1 to 3 cm; Grade III: Subcapsular hematoma > 50% of surface area, intrafinchymal hematoma diameter ≥ 5 cm, parenchymal laceration depth > 3 cm; Grade IV: any injury with splenic vascular damage or active bleeding, parenchymal laceration involving the spleen segment or splenic portal vessels resulting in > 25% of splenic segment blood flow blocking; V. The spleen is broken.
Image from Lilac Garden
Hu Jinqiu is able to preserve the spleen, which is likely to be a grade I to III laceration. The spleen has many important roles in human body functions, such as storing blood, participating in hematopoiesis, blood filter function, regulating bone marrow function, and participating in the body's defense mechanisms. For young people, it is very important to preserve the spleen. Therefore, laparoscopic spleen repair is the first choice of treatment. Spleen bleeding needs to be rested for about 3 months to avoid further bleeding due to excessive movement.
Let's see that this is a case of spleen rupture, the injured person is a fall hit the left upper abdomen, ribs, abdominal pain is unbearable to come to the hospital, CT a look at the abdominal cavity has a lot of blood, the spleen is also a lot of lacerations, this condition is the fourth level of spleen rupture, need surgery to remove the spleen to stop bleeding.
A ruptured spleen is one of the most dangerous injuries in abdominal trauma. Because of what? Because the spleen is an organ that stores blood, has a rich blood supply, and is very brittle, once broken, the crack is difficult to heal on its own, and the bleeding is very fierce. It is easy to have heavy bleeding leading to hemorrhagic shock, which is life-threatening. Therefore, the left upper quadrant should be treated in time for impact, and if the examination finds that the spleen rupture is found, it should be treated in time.
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This article is original by [Dr. Luo Health Said], the author is a member of the Chinese Anti-Cancer Association, a member of the Health Communication Working Committee of the Chinese Medical Doctor Association, a health science writer, welcome to forward, comment, like, or private message with me, thank you very much!