小儿脾肾较成人脆弱,裂伤后缝合修补容易撕裂,以往对较严重的脾肾破裂伤多采用切除术。我们自1992年6月起采用凝血酶明胶海绵填塞,带蒂大网膜包裹,肠线网套压迫止血。“三步法”治疗小儿脾肾损伤各一例,效果良好,现报告如下。临床资料及手术方法例1.男、7岁,1992年6月24日中午被汽车撞伤左腰部1小时入院,急诊探查发现脾脏严重碎裂伤无法保留而切除,左肾中部碎裂伤,但上下极无损伤,将左肾中部碎裂伤部份楔形切除,创面铺盖含凝血酶的明胶海绵用带蒂大网膜包裹,然后用做好的肠线网套收紧压迫止血,在肾周放一根橡胶管引 Pediatric spleen and kidney more vulnerable than adults, laceration suture repair easy to tear, in the past more severe spleen and kidney rupture using resection. We since June 1992 using thrombin gelatin sponge packing, pedicled omentum wrapping, catgut netting hemostasis. “Three-step” treatment of children with spleen and kidney damage in one case, the effect is good, are as follows. Clinical data and surgical methods Example 1. Male, 7 years old, noon on June 24, 1992 by car hit the left lumbar 1 hour admission, emergency exploration found spleen severe laceration can not be retained and removed, the middle of the left kidney laceration, But the upper and lower pole without injury, the left kidney part of the central laceration wedge resection part of the wound covered with thrombin gelatin sponge with pedicled omentum wrapped, and then use the good catgut net tightening compression hemostasis, in the kidney Week put a rubber tube cited