BLUNT LIVER TRAUMA IN CHILDREN

被引：21

作者：

CYWES, S

BASS, DH

RODE, H

MILLAR, AJW

机构：

[1] Department of Paediatric Surgery, University of Cape Town, Institute of Child Health, Cape Town

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1991年 / 22卷 / 04期

关键词：

D O I：

10.1016/0020-1383(91)90013-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

From 1978 to 1988 228 children under 13 years of age with liver injury following blunt abdominal trauma were studied prospectively. Motor vehicle related accidents were responsible for 85 per cent of the injuries. Isotope liver scan established the diagnosis and identified the pattern of injury. Multiple injuries were seen in 157 patients - predominantly head injuries. The liver was the only intra-abdominal organ injured in 119 patients. There were 69 associated splenic, 33 renal, 21 pancreatic and 3 bowel injuries. There were two deaths (0.88 per cent). Management was non-operative in 215 patients, with resolution of the liver injury in 214. Blood was transfused in 92 patients (40 per cent) (mean volume 20 ml/kg). There were 10 complications; two liver abscesses responded to antibiotics. Follow-up showed complete resolution of the liver injuries. Eight underwent laparotomy because of instability, deterioration or other extrahepatic visceral injuries. All required blood transfusion (mean volume 30 ml/kg). There were eight complications following surgery.

引用

页码：310 / 315

页数：6

共 17 条

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