| Title |
Vaikų uždaros pilvo traumos: diagnostika ir gydymas / |
| Translation of Title |
Blunt abdomen injury in children: diagnosis and treatment. |
| Authors |
Siaurusaitis, Benjaminas Justinas ; Trainavičius, Kęstutis ; Breivienė, Gintarė ; Čekuolis, Andrius ; Strumila, Arūnas |
| DOI |
10.15388/LietChirur.2004.2.2371 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2004, t. 2, Nr. 2, p. 133-142.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
blunt abdomen injury in children ; intraabdominal injuries ; diagnosis ; tactics of surgical treatment |
| Abstract [eng] |
Background / objective The large majority of children with blunt abdomen trauma are treated non-operatively. The aim of our study was to analyze the tactics of treatment of blunt abdomen trauma and the results of 25 years. Patients and methods The retrospective study of 1139 patients treated in our clinic between 1979 and 2003 has been undertaken. Causes of trauma, clinical and diagnostic data, methods of treatment and results were analyzed. Results The most common causes of injuries were conditions of life and motor vehicle accidents, but violent traumas were also frequent. Spleen injury was the most frequent blunt trauma (174 patients, 15.3%). Hepatic trauma was diagnosed in 42 patients (3.7%). The diagnosis was made clinically and confirmed by sonography. The background for non-operative treatment was the precise diagnostics including CT-scan: in the last 5 years 83% of spleen (39 patients) and liver (10 patients) injuries were treated non-operatively. All 36 patients (3.2%) with intestinal injuries were operated on. Injuries of the retroperitoneal organs (duodenum, pancreas) were rare. The diagnosis was confirmed by CT. All patients were operated on and recovered. The large majority of patients (865 patients, 75.9%) underwent only abdomen contusion. There were 3 deaths (0.3%). Conclusions New diagnostic modalities, sonography and CT-scan, changed the management of patients with blunt abdominal trauma. Most patients with liver and spleen blunt injuries are treated non-operatively. Operative treatment is indicated if there are signs of continuing bleeding and patients are hemodinamically unstable. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2004 |
| CC license |
|
