Pediatric blunt abdominal trauma: recognition and management in the emergency department

Nicole Schacherer, Jill Miller, Kelli Petronis
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引用次数: 0

Abstract

Blunt abdominal trauma is the third most common cause of pediatric deaths from trauma, but it is the most common unrecog­nized fatal injury. The history and physical examination, combined with the mecha­nism of injury, should be used to develop a thoughtful and directed diagnostic workup. The mainstays of diagnostic evaluation in­clude laboratory testing, sonography, and computed tomography. However, due to the concern for radiation exposure and other risks, the routine use of these studies may not be necessary, and controversy exists as to which studies are beneficial and which are less valuable. This supplement discusses common mechanisms and injuries seen in children with blunt abdominal trauma and takes a closer look at evaluation and man­agement techniques.

小儿钝性腹部创伤:急诊科的识别与处理
钝性腹部创伤是小儿创伤死亡的第三大常见原因,但它是最常见的未被识别的致命伤害。病史和体格检查,结合损伤机制,应用于制定周到和有针对性的诊断工作。诊断评估的主要方法包括实验室测试、超声检查和计算机断层扫描。然而,由于对辐射暴露和其他风险的关注,这些研究的常规使用可能没有必要,并且存在关于哪些研究有益而哪些研究不那么有价值的争议。本补充讨论了钝性腹部创伤儿童常见的机制和损伤,并进一步探讨了评估和管理技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric emergency medicine practice
Pediatric emergency medicine practice Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
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0
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