儿童钝性腹部创伤的实体器官损伤

Dr. Girish Saini, Dr. Ajay Jhalani, Dr. Vinita Chaturvedi
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摘要

背景:儿童和年轻人最常因事故而死亡和致残。钝性创伤占儿童创伤机制损伤的90%以上。钝性腹部创伤占所有钝性机制的10%到15%。目前大多数钝性实体器官损伤在儿童年龄组的非手术治疗的建立是由于观察到大多数钝性实体器官损伤会自行愈合,而手术干预会阻碍这一机制。目的:本研究于2022年1月至2023年7月在西sms医学院附属医院儿科外科进行前瞻性观察性研究。本研究的目的是确定钝性创伤腹部(BTA)儿童实体器官损伤的处理是否保留或在印度高病人负荷医院的三级卫生保健中心进行手术。方法:对116例因任何原因造成的钝性腹部创伤患者的医疗记录进行了仔细的分析,这些患者的年龄不超过13岁。损伤器官、患者年龄、性别、损伤等级、影像学表现、干预措施、住院时间和并发症均可通过医疗记录进行前瞻性回顾。根据ATLS方案进行初步复苏。最终的管理决策是基于复苏后患者的稳定情况。通过SPSS-26进行数据录入和分析。采用卡方检验和学生t检验,P值
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Solid organ injury in blunt trauma abdomen in pediatric patients
Background: Children and young people are most often killed and disabled by accidents. Blunt trauma accounts for more than 90% of traumatic mechanisms of injury in children. Blunt abdominal trauma accounts for between 10 and 15% of all blunt mechanisms. The establishment of the present non- operative treatment for the majority of blunt solid organ injuries in the pediatric age group was prompted by observations that most blunt solid organ injuries will heal on their own and that surgical intervention would thwart this mechanism.Aim: This is a prospective observational study done in department of pediatrics surgery in SMS medical college and hospital from January 2022 to July 2023. The aim of this study is to determine the management of solid organ injuries in blunt trauma abdomen (BTA) in children whether to conserve or operate at tertiary health care center in high patient load hospital in India. Methodology: 116 patients with blunt abdominal trauma due to any cause, the medical records of all patients with trauma of any kind age up to 13 years were carefully reviewed. The injured organ, patient age, sex, injury grade, imaging findings, intervention, length of hospital stay, and complications were prospectively reviewed using medical records. Initial resuscitation was done according to ATLS protocol. Ultimate management decision was based on stability of patients after resuscitation. Data was entered and analyzed through SPSS-26. Chi- square test and student's t-test were applied and P value
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