Herida Penetrante Cervical En Pediatría

A. Simons, Ezequiel Monteverde, A. Francavilla, A. Gattari, Deborah Turina, A. Costas, P. López, P. Neira
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Abstract

the diagnostic and therapeutic complexity that these patients present, motivate the consideration for presentation of the following cases admitted to a pediatric intensive care unit (PICU) in a 5-year period. These cases showed different evolution and mechanism of injury. Two of them required emergency surgical exploration with final procedures derived from intraoperative findings. In the third case, given his good general condition and hemodynamic stability, it was decided to maintain a non-operative approach with satisfactory results. The mortality of these patients is high during the golden hour, since the therapeutic results depend on a high-degree suspicion index.
儿科宫颈穿透性伤口
这些患者所呈现的诊断和治疗的复杂性,促使以下病例在5年期间入住儿科重症监护病房(PICU)的考虑。这些病例表现出不同的损伤演变和机制。其中2例需要紧急手术探查,最终手术方法根据术中发现。在第三例患者中,考虑到他良好的全身状况和血流动力学稳定性,我们决定维持非手术入路,结果令人满意。在黄金时段,这些病人的死亡率很高,因为治疗结果取决于高度怀疑指数。
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