Background: The spleen is the most common solid
organ injured in patients who had sustained abdominal
trauma. Such injuries to the spleen represent
approximately one quarter of all blunt injuries of the
abdominal viscera.
Due to its remarkable vasculature and its fragile
structure, splenic rupture is the most widespread cause
of intra-abdominal hemorrhage.
Objective: To assess the magnitude of splenic injury,
the management of splenic injury, and to evaluate the
postoperative complications.
Methods: A prospective study of 57 cases of splenic
injury was performed in Al-Kadhimiya Teaching
Hospital during the period between the 1st of October
2004 and the 1st of October 2006. Statistical analysis
was then performed to identify the causes, management
and postoperative complications. Splenic injuries were
graded into 5 grades.
Results: The highest incidence of splenic injury was
recorded in age group s31-40 year. Penetrating injury
was much more common than blunt trauma (73.68%
versus 26.31%).
Fifty patients (87 %) were diagnosed by exploratory
laparotomy, ultrasonography in 5 patients (8.77 %), CT
scan was positive in 2 patients (3.5 %). Associated
injuries were recorded in 41 patients 71.92%.
Pulmonary complications were the most frequent
complications (18 patients, 31.57 %).
Conclusion: Splenic injuries are common surgical
problems in Al-Kadhimiya Teaching Hospital. Still
there are many difficulties in establishing the diagnosis
of the splenic injury with shortage in the new diagnostic
modalities especially (CT -Scan, MR1 and even U/S
scan) in the emergency situations.
In spite of the dangerous post-operative complications
of splenectomy, it is still the most commonly performed
surgical procedure in cases of splenic injury
Resumen
El presente trabajo nace de una inquietud por la enseñanza del español en Irak a nivel universitario especialmente ante las dificultades que los alumnos árabes en general, e iraquíes en particular, encuentran en su proceso de aprendizaje. Nuestra primera inclinación fue, pues, prestar una atención directa y cercana al alumno como sujeto del aprendizaje, así como a lo que el alumno produce como resultado del mismo. En el presente trabajo pretendemos dotar al estudiante de los conocimientos lingüísticos necesarios para poder interaccionar en una variedad de situaciones y enfrentarse a problemas cotidianos, de manera que desarrolle las destrezas comunicativas que le permitan establecer una co
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The study which was done had been based on the academic achievement test for creative writing skills, and the reflective thinking test. The validity and reliability of the study tools were also confirmed. The study was applied to a sample consisting of
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(2)
(1)
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